Can a person with cardiac premature beats have a tooth extracted?

In general, whether a patient with cardiac premature beats can undergo tooth extraction cannot be universally determined. The decision should be made jointly by dentists and cardiologists based on the type, frequency, symptoms of the premature beats, and whether other heart diseases are present. Tooth extraction should neither be blindly performed nor refused without proper evaluation. Specific analysis is as follows:

Cardiac premature beats are classified into two types: occasional and frequent. If the premature beats are occasional, and there are no obvious symptoms such as palpitations or chest tightness in daily life, and cardiac examinations by a cardiologist reveal no structural or functional abnormalities of the heart, tooth extraction may cautiously be performed during a stable phase of the condition. Before the procedure, patients must inform the dentist about their premature beats. The dentist will choose an appropriate anesthetic method and closely monitor heart rate during the procedure to avoid exacerbation of premature beats caused by stress or pain.

If the premature beats are frequent, accompanied by significant symptoms, or associated with other heart conditions such as coronary artery disease, heart failure, or cardiomyopathy, the risk of tooth extraction increases significantly. Pain and anxiety during the extraction process may stimulate the sympathetic nervous system, leading to increased frequency of premature beats or even triggering more serious arrhythmias, posing a threat to life. Such patients should first receive treatment from a cardiologist. Only after the premature beats are effectively controlled and cardiac function stabilized should both specialists reassess whether conditions are suitable for tooth extraction.

Therefore, patients with a history of cardiac premature beats who are planning tooth extraction must bring their cardiac examination reports to the appointment in advance and proactively disclose their medical history. Doctors will develop a safe treatment plan according to the individual's specific situation, ensuring cardiac safety during tooth extraction, or recommend delaying the procedure until cardiac status is optimized.