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Do You Need to Premedicate prior to your dental visit?

The American Heart Association changed its guidelines concerning premedication with antibiotics prior to dental procedures. If you have taken an antibiotic prior to dental treatment in the past, Dr. Zalis advises that you check with your physician to determine whether pre-medication is still recommended or can be discontinued.

The new guidelines say that patients who have taken prophylactic (preventive) antibiotics routinely in the past no longer need them for the following:

  • Mitral valve prolapse
  • Rheumatic heart disease
  • Bicuspid valve disease
  • Calcified aortic stenosis
  • Congenital heart conditions such as ventricular septal defect, atrial septal defect, and hypertrophic cardiomyopathy

    Patients with the following conditions are considered to be at risk of adverse effects from endocarditis, and treatment with prophylactic antibiotics is still advised for the following:

  • Prosthetic cardiac valve
  • Previous infective endocarditis
  • Congenital heart disease (CHD), including:
    • Unrepaired cyanotic CHD
    • Repaired congenital heart defects within the first 6 months after the surgery or repair procedure
    • Repaired CHD with residual defects at the site of the prosthetic patch or device
  • Cardiac trasplantation patients who develop cardiac valvulpathy
  • The guidelines have not changed for joint/orthopedic patients. Those guidelines are still the same regarding antibiotic coverage prior to dental appointments.

    Antibiotic prophylaxis is not indicated for dental patients with pins, plates and screws


    American Dental Association