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Doctor insights on: Do Patients Undergoing Dental Procedures Require Endocarditis Prophylaxis

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Do patients undergoing dental procedures require endocarditis prophylaxis

Do patients undergoing dental procedures require endocarditis prophylaxis

Some do...: Some people do. Patients with artificial heart valves, previous history of infective endocarditis, joint replacements in the last 5 years do require it (there are other conditions, these are the most common). Patients with mitral valve prolapse, heart murmurs, stents, and pacemakers do not need prophylaxis. If there is a specific condition you are asking about, let me know. ...Read more

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Dr. Martin Raff
240 doctors shared insights

Endocarditis (Definition)

An infection of the inner lining of your heart. It generally occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. Left untreated, endocarditis can damage or destroy your heart valves and can ...Read more


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Are prophylactic antibiotics required for patients whom have had heart valve surgery when having open incision procedures such as breast core biopsy?

Are prophylactic antibiotics required for patients whom have had heart valve surgery when having open incision procedures such as breast core biopsy?

No.: Core biopsy is a clean procedure done with a needle (8g-14g) via a small puncture site (no major incision). As long as standard sterile technique is maintained and the skin is prepped/cleaned (i.e. Alcohol wipe), there is minimal if any risk of seeding infection. The need for antibiotic prophylaxis with valves is primarily in contaminated fields (i.e. Mouth, bowel, etc) or more major intervention. ...Read more

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Do those who undergo dental implant generally need bone graft?

Do those who undergo dental implant generally need bone graft?

Sometimes: It depends on the amount and quality of bone a potential implant site has. Sometimes a site has to be augmented in order for an implant to be successful, and sometimes it does not. ...Read more

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Mitral valve repair surgery with prosthetic material annuloplasty ring 6 months postop are antibiotics required for life for dental work in us & uk?

Mitral valve repair surgery with prosthetic material annuloplasty ring  6 months postop are antibiotics required for life for dental work in  us & uk?

AHA recommendations: As of now, in the us, according to the aha, yes. I cannot say what the protocol would be in the uk but would assume it was the same. Your own cardiologist is the one to address all your questions and concerns to, both now and in the future. See the following site for more information as to basic recommendations: http://www.Heart.Org/heartorg/conditions/congenitalheartdefects/theimpactofcongenitalheartdefects/infective-endocarditis_ucm_307108_article.Jsp. ...Read more

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Mitral valve repair surgery (prosthetic material ring with native valve) 6 months postop are antibiotics required for life for dental work in us & uk?

Mitral valve repair surgery (prosthetic material ring with native valve) 6 months postop are antibiotics required for life for dental work in us & uk?

Yes for replacements: If you have your mitral valve replaced it is necessary to pre medicate with antibiotics prior to any dental procedure that may involve bleeding. That would include cleanings, extractions , root canals and any invasive procedures. Your dentist will tell you when to pre medicate. ...Read more

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Are patients who have quarterly periodontal cleanings allowed nitrous oxide to decrease pain during the 45 minute hygienist procedure?

Are patients who have quarterly periodontal cleanings allowed nitrous oxide to decrease pain during the 45 minute hygienist procedure?

Nitrous Oxide: Any patient can receive nitrous oxide\oxygen analgesia for any dental procedure. However, each state has different state board requirements as to who may administer and monitor the patient during the administration. In some states in can only be a licensed doctor while others may allow auxiliary personal such as a dental hygienist to monitor it with specialized training and certification. ...Read more

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Do dental procedures (other than cleanings and fillings) after tjr require antibiotics to prevent infection? Some os's say 2 years some say lifetime.

Do dental procedures (other than cleanings and fillings) after tjr require antibiotics to prevent infection? Some os's say 2 years some say lifetime.

Iwould say yes: There is alot of controversy saying yes and no, and most recently the doctors in the joint replacement field are saying no need, i would say why take a chance, , my 30 year old son had his replaced 2 years ago, and the person in the next bad needed his knee replaced and he or his doctors had no idea how he got the infection there that caused the replaced knee to fail, why take any chances. ...Read more

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Is dental deep cleaning dangerous for someone who has had heart valve replaced takes antibiotics prior to dental exams. ?

Is dental deep cleaning dangerous for someone who has had heart valve replaced takes antibiotics prior to dental exams. ?

No: But always remember to take the pre-medication antibiotic. Also, let your doctor know everything about your health history, that is one person who you never want to keep "secrets" from...Trust me! short answer, take pre-med, you will be f-i-n-e. ...Read more

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

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

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

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How often do cardiac ablation surgeries result in complications requiring pacemakers implantation?

How often do cardiac ablation surgeries result in complications requiring pacemakers implantation?

It depends: It depends on the ablation type: almost never for wpw, atrial fibrillation/flutter or ventricular tachycardia; 1% or less for avnrt (atrioventricular nodal reentry tachycardia). In avnrt, there is an extra 'lane' in the av node that conducts electrical impulses leading to tachycardia and the ablation can unintentionally damage the whole av node resulting in heart block and need for pacemaker. ...Read more

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Is local anesthetic risky for patients with existing arrhythmia?

Is local anesthetic risky for patients with existing arrhythmia?

No,: At least if no Epinephrine is in the mix. Indeed, local anesthetic can be mixed with Epinephrine mainly used in oral/dental surgery as it will limit the bleeding and the effect will last longer. Local anesthesia is the safest anesthesia. But what arrhythmia are you talking about, svt ? As in your age they are not to many possibilities... ...Read more

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What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia? 

What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia? 

No extra precautions: Routine dental cleanings (prophylaxis) for children with sickle cell anemia are not different than dental prophylaxis for normal children. Because children are not sedated, the risk of decreased oxygenation is not there. For "operative" dental procedures such as tooth extractions and root canals, prophylactic antibiotics can be considered. ...Read more

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Is general anesthesia used for sinus grafting? I'm terrified of having dental work done, and prefer to be knocked out completely for major procedures. Is sinus grafting a procedure that is done with local anesthetics or do most surgeons use general anesth

Is general anesthesia used for sinus grafting? I'm terrified of having dental work done, and prefer to be knocked out completely for major procedures. Is sinus grafting a procedure that is done with local anesthetics or do most surgeons use general anesth

Use IV sedation..: General anesthesia is rarely indicated for sinus graft surgery. Iv sedation is what i would consider if you're anxious. This way, you're completely comfortable, won't remember anything, and won't have tubes down your throat. Furthermore, you'll recover faster and have less side effects from the anesthesia. Although local anesthetic can be used to perform a sinus graft, i prefer IV sedation. ...Read more

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What are complications for an elderly patient during an anaesthetic procedure?

What are complications for an elderly patient during an anaesthetic procedure?

Many . . .: While there are complications attributed to anesthesia such as confusion & delirium as well as difficulty weaning off ventilator, complications are more often attributed to the procedure itself eg blood clots, heart attacks, stroke, bleeding, infection & delirium. The confusion from general anesthesia can be mitigated to some extent by offering regional anesthesia when possible. ...Read more

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2 failed implants in under 3 years & 4 fillings need redone. Should I have dental review for prior dental work/dentist?

2 failed implants in under 3 years & 4 fillings need redone. Should I have dental review for prior dental work/dentist?

Dental review: Dental treatment can last a long time if done properly and maintained by the patient. Some patients are not ideal candidates for implants-smokers, diabetics, people with healing issues. Fillings can get recurrent decay around and under them over time. It is always your right to request a review. Check with your local dental society and inquire about Peer Review. ...Read more

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Do I need antibiotic prophylaxis for endocarditis with acupuncture treatments?

Do I need antibiotic prophylaxis for endocarditis with acupuncture treatments?

No, but: You do need protection from HIV infection and hepatitis if the acupuncturist reuses their needles. Be sure you go to someone who is reputable. ...Read more

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Dr. Kyle Shank
291 doctors shared insights

Dental Procedures (Definition)

Dental procedures describe a broad category of interventions performed by dentists, oral surgeons, and other dental specialties. The most commonly performed dental procedures are teeth cleaning, tooth polishing, tooth removal and root canal but can also include oral and facial surgery as well as placement ...Read more


Dr. Gary Sandler
1,129 doctors shared insights

Dental Care (Definition)

Dental care is taking proper care of your teeth and gums, which includes brushing, flossing, regular dental exams, and any necessary treatments such as fillings, ...Read more