The Management of Patients with Heart Disease in Local Dental Anesthesia

Dental treatment under local anesthesia and sedation, is of great benefit, but medical problems may arise, especially in patients with cardiovascular disease (CVD). Cardiovascular disease is the leading cause of death worldwide, with more than three-quarters of deaths reported in low-and middle-income countries. In dentistry, clinical procedures in patients with cardiovascular disease should be carefully evaluated, including the use of local anesthesia and sedatives. Although there is a long history of safe use of local anesthetics (LA) in healthy patients and those with complex medical situations, prophylactic and corrective measures should be taken to ensure the safe delivery of dental care in patients with heart disease.