A member asked:

Is antibiotic prophylaxis for dental procedures recommended for those with pacemakers? i didn't think so...

65 doctors weighed in across 8 answers
Dr. Gary Sandler answered

Specializes in Dentistry

Not usually: You are correct. As a general rule, we don't usually prescribe premedication for patients with pacemakers, unless of course there are other medical or dental reasons to do so, or the cardiologist requests or suggests it. If you were prescribed premedication, ask for the reason why.

Answered 11/27/2017

5.2k views

Thank

Generally, no: New guidelines published in jacc 2008;52:676-685. Do not indicate need for treatment with pacemakers. The exception to this may be in a very new pacer with a very high risk of infection (such as intraabdominal abscess) but that would likely get antibiotic treatment anyway.

Answered 11/27/2017

5.2k views

Thank

No: Just having a pacemaker alone does not mean you need antibiotics before a dental procedure.

Answered 9/23/2017

5.1k views

Thank
Dr. Don Millner answered

Specializes in Dentistry - Cosmetic

No unless Rx'd by MD: Those with pacemakers (and no other medical concerns) need only take antibiotics for dental treatment if they were prescribed by their md.

Answered 11/27/2017

4.3k views

Thank
Dr. John Thaler answered

Specializes in Prosthodontics

Not encountered: Have many patients with pacemakers and have not seen any recommendations for prophylaxis.

Answered 11/27/2017

3.3k views

Thank
Dr. Paul Grin answered

Specializes in Pain Management

Definitely, no: Antibiotics have never been recommended for people with pacemakers or defibrillators. Hope it helps.

Answered 9/4/2017

3.3k views

Thank
Dr. David Epstein answered

Specializes in Cosmetic Dentistry

No: The american Heart association does NOT recommend antibiotic prophylaxis for a pacemaker.

Answered 11/27/2017

2.9k views

Thank
Dr. Gregori Kurtzman answered

Specializes in Dentistry

No not recommended: Antibiotic prophylaxis prior to dental treatment is not indicated for patients with pacemakers. The latest recommendations are to use antibiotic prophylaxis in any procedure that can cause bleeding (cleaning extraction etc) when there are specific medical conditions present and pacemaker is not on that list

Answered 10/15/2017

512 views

Thank

Related Questions