What heart conditions require antibiotics before dental work?

What heart conditions require antibiotics before dental work?

Today, the AHA only recommends antibiotics before dental procedures for patients with the highest risk of infection, those who have:

• A prosthetic heart valve or who have had a heart valve repaired with prosthetic material.
• A history of endocarditis.
• A heart transplant with abnormal heart valve function.

Which medical conditions require antibiotic prophylaxis before some dental procedures?

Patients at risk of developing infective endocarditis or infection of a prosthetic joint may require antibiotic prophylaxis during dental treatment.

When do you give SBE prophylaxis?

The American Heart Association currently recommends antibiotic prophylaxis only in patients with the following high-risk cardiac conditions:

1. Patients with prosthetic cardiac valves.
2. Patients with previous infective endocarditis.
3. Cardiac transplant recipients with valve regurgitation due to a structurally abnormal valve.

What conditions need premedication for dental treatment?

Who Needs Dental Premedication?

• A prosthetic heart valve or a repaired heart valve.
• A history of IE.
• A heart disease present from birth or a heart defect.
• A heart transplant that results in valve problems.

Does mitral valve prolapse require antibiotic prophylaxis?

Rationale and Comments: Antibiotic prophylaxis is no longer indicated in patients with mitral valve prolapse for prevention of infective endocarditis. The risk of antibiotic-associated adverse effects exceeds the benefit (if any) from prophylactic antibiotic therapy.

Do heart stents need antibiotic prophylaxis?

No. Antibiotic prophylaxis is not routinely recommended for patients with coronary artery stents. It is recommended, however, for patients with these devices if they undergo incision and drainage of infection at other sites (e.g. abscess) or replacement of an infected device.

Does VSD need SBE prophylaxis?

Patients that do not require SBE prophylaxis include children with acyanotic congenital heart defects (for example – >ASD, VSD, aortic or pulmonary valve stenosis to name a few), and children who have had their hearts surgically repaired over 6 months ago and have been cleared by their cardiologist.

Does mitral valve prolapse need antibiotic prophylaxis?

When do you need prophylaxis for an unrepaired VSD?

Unrepaired VSDs don’t require endocarditis prophylaxis, according to the most recent recommendations of the American Heart Association. After the VSD is successfully closed, preventive treatment is needed only during a six-month healing period.

What happens if VSD is repaired early in life?

Patients whose VSD has been repaired early in life are unlikely to have any significant long-term problems. If the ventricular septal defect is completely closed without a leak in the patch, the risk of late infection, endocarditis, is minimal.

When to use prophylaxis prior to dental procedures?

Key Points. For patients with these underlying cardiac conditions, prophylaxis is recommended for all dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa.

When to use infective endocarditis prophylaxis for dental procedures?

Infective endocarditis prophylaxis for dental procedures should be recommended only for patients with underlying cardiac conditions associated with the highest risk of adverse outcome from infective endocarditis (see “Patient Selection,” in the main text).