Antibiotics Before a Dental Appointment
Patients with certain heart conditions or artificial joints may be at risk of developing an infection in their heart or joint. Antibiotics before dental appointments decrease this risk. This is called Antibiotic Prophylaxis.
When treating patients with heart conditions or artificial joints dentists follow recommendations developed by the American Heart Association(AHA) and the American Academy of Orthopedic Surgeons(AAOS). These recommendations are meant to reduce the risk of developing infections in the lining inside the heart or heart valves(called ‘Infective Endocarditis’) or the artificial joint.
Recently, through research, the AHA found that fewer conditions than thought before were associated with Infective Endocarditis. Because of this, some patients who used to take antibiotics before dental procedures no longer need to. These conditions that DO NOT require antibiotics before dental appointments are:
*Mitral Valve Prolapse *Rheumatic Heart Disease *Bicuspid Valve Disease *Calcified Aortic Stenosis *Congenital Heart Conditions(atrial septal defect, ventricular septal defect or hypertrophic cardiomyopathy)
Conditions that DO STILL require antibiotics before dental treatment are:
*Artificial Heart Valves *Cardiac Transplant that develops a Valve Problem *A History of Infective Endocarditis *Certain Congenital Heart Conditions(repaired congenital defect with residual defect or prosthetic patch or device, un-repaired cyanotic congenital heart disease including those with palliative shunts and conduits) *Total Joint Replacements
***There may be other conditions that require a patient to take antibiotics before dental appointments. It is always beneficial to review your medical history with your dentist before any procedure and to contact your dentist or your medical doctor if you have any questions or concerns.***
For more information check out the American Dental Association’s Website: www.ada.org
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