The following medical conditions require antibiotic prophylaxis for dental procedures where bacteremia could occur such as after manipulation of gingiva.

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Presentation transcript:

The following medical conditions require antibiotic prophylaxis for dental procedures where bacteremia could occur such as after manipulation of gingiva or the tooth apex or when oral mucosa is perforated: •Prosthetic heart valves, previous endocarditis, unrepaired congenital heart disease, post-transplant valvulopathy o See 2007 AHA guidelines • Vascular grafts (less than 6 months old) • Arteriovenous hemodialysis shunts • Neurosurgical shunts (dependent on type) • Indwelling vascular catheters•Vascular grafts (less than 6 months old) Antibiotic prophylaxis prior to undergoing dental procedures is NOT required for patients with cardiovascular implantable devices, such as defibrillators or pacemakers. According to 2013 AAOS-ADA clinical practice guidelines, "the practitioner might consider discontinuing the practice of routinely prescribing prophylactic antibiotics for patients with hip and knee prosthetic joint implants undergoing dental procedures." References: Wilson, W et al. Prevention of Infectious Endocarditis: Guidelines from the AHA. Circulation. 2007; 116:1736-1754. http://circ.ahajournals.org/content/116/15/1736.full.pdf. Watters W et al. Prevention of Orthopaedic Implant Infection in Patients undergoing Dental Procedures: Executive Report. J the Am Acad of Orthopedic Surgery. 2013; 21:180-189. Baddour, L.M., et al. A summary of the update on cardiovascular implantable electronic device infection and their management. JADA. 2011; 142(2):159-165. Berbarie EF, et al. Dental procedures as a risk factor for prosthetic hip or knee inf. Clinical Infectious Disease. 2010; 50:8-16. Friedlander AH. Prevalence of staphylococci in the mouth and presence of streptococci in late infection of knee and hip joint prosthesis: antibiotic prophylaxis, a conundrum. Spec Care Dentistry. 2009; 29(6):226-228. Little JW, Jacobson JJ, Lockhart PB. American Academy of Oral Medicine. The Dental Treatment of Patients with Joint Replacement: A Position Paper from the American Academy of Oral Medicine. JADA. 2010; 141(6): 667-71.