During a comprehensive health history review, a patient discloses a history of rheumatic heart disease. What is the primary concern when planning dental hygiene treatment?
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A
Excessive bleeding due to concurrent anticoagulant use
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B
Risk of infective endocarditis requiring antibiotic prophylaxis evaluation
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C
Contraindication to local anesthesia with vasoconstrictor
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D
Hypersensitivity to fluoride products