There are certain medical conditions that would require the patient to take a dose of antibiotics, known as dental premedication, prior to a dental appointment. This is done to help prevent any bacteria from being introduced from the dental procedure. This can avoid the procedure from causing an infection in another part of the body, such as the heart lining, called bacterial endocarditis.
Because of conflicting evidence, there is a lot of discussion as to whether antibiotic dental premedication is needed at all. The conflict comes in with the debate that over prescription of antibiotics can lead to antibiotic resistant strains of bacteria.
CONDITIONS WHICH MAY REQUIRE PREMEDICATION:
This list is not all inclusive, so check with your provider if you have any concerns.
- Artificial Heart Valves
- History of Rheumatic Fever
- History of Infective Endocarditis
- Kidney Dialysis
- Mitral Valve Prolapse with Valvular Regurgitation
- Certain Congenital Heart Conditions
- Cardiac Transplants
DENTAL PROCEDURES WHICH REQUIRE PREMEDICATION:
This list is not all inclusive, so check with your provider if you have any concerns.
YES, ANTIBIOTICS ARE NEEDED:
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Periodontal Cleanings
If significant bleeding is not going to occur, it is not necessary to take antibiotics prophylactically before your dental appointment.
NO, ANTIBIOTICS ARE NOT NEEDED:
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Routine Fillings
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Routine Crown Preparations
-
Routine Dental Cleanings
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Orthodontic Placement of Bands or Brackets
If you have any questions as to whether or not you may need dental premedication, please share your concerns with us, and be sure to disclose all of your medical conditions and history, as that’s the only way you and your Houston, Texas dentist can decide the best course of treatment for you.
