[LeThanhPhong]

(Quora) Doctors, have you ever smelled something so strong on a patient you knew there was an infection or open wound before being told?

Answered by William Rieske Rieske:

When I was doing heart surgery, I went to pre op to interview a patient scheduled for an aortic valve replacement. As soon as he started talking, the stench of rotten teeth, and pus was enough to knock me over.

I asked if he had seen a dentist recently, he said he was going to take care of that after we fixed his heart.
WRONG ANSWER. Abscessed teeth are notorious for seeding bacteria into the blood stream. These bacteria will travel to and colonize the prosthetic heart valve which does not have the protection of the patient’s immune system. This leads to sepsis and often death.

I told him his surgeon would make the final decision, but that we might not be able to do his surgery today. I called the surgeon, who came by and asked one question so he could smell the patient’s breath, before canceling the surgery.

The patient was unhappy, but the surgeon was adamant. The patient came back eight weeks later with all of his teeth gone, and had his surgery.


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Video Time Stamps

00:00 - INTRO
00:14 - DEEP CLEANING VS TEETH CLEANING
03:01 - TEETH CLEANING TOOLS
03:55 - SENSITIVE TEETH CLEANING
05:36 - BRACES CLEANING
06:38 - GUM DISEASE
07:43 - ELECTRIC TOOTHBRUSH / WATERPIK
09:25 - GUM RECESSION
10:53 - TEETH CLEANING COMFORT
12:00 - TEETH WHITENING
12:56 - TEETH CLEANING COST


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