Not everyone with a heart condition needs to be premedicated... it all depends on what procedure you are having done at the dental office. I didn't ask a patient with a pacemaker to premedicate when she came in for non-invasive procedures, such as being taken x-rays.
These are some conditions for which premedication might be necessary:
* heart conditions (i.e., someone with a past history of infective endocarditis or has a prosthetic device)
* someone with prosthetic joints
* someone with compromised immunity
If you are going for a procedure where bleeding is anticipated, the dentist can prescribe medication and ask that you take the medication 30-60 min prior to the appointment. This is to prevent bacteremia, or bacteria entering the bloodstream after extraction of a decayed tooth. Finally, it is not normal to bleed when you brush or floss your teeth. Just like it is not normal for your hand to bleed when pressure is applied, your gums are signalling that there is an infection going on. That is why it is important to get a cleaning every 3-6 months, so you can maintain healthy gums.
...Am on SP hiatus...