Antibiotic Premedicationfor Dental Treatments

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.


Teeth Whitening - Dear Doctor Magazine Teeth Whitening - Brighter, whiter...
The subconscious impact of a white smile is radiant health, happiness, warmth and invitation. This phenomenon has been reinforced with the spread of American culture worldwide, where an especially white smile has even been coined a "Hollywood smile". Today brighter, lighter, whiter teeth have become a norm. Tooth whitening by bleaching is a successful, conservative, relatively inexpensive and safe alternative... Read Article

 

Porcelain Veneers - Dear Doctor Magazine Smile Design with Porcelain Veneers
In part two of the series on Smile Design, Dear Doctor takes an in-depth look at Porcelain Veneers, a superior yet minimally invasive technique for smile enhancement. We'll explain not only when they're appropriate, but also when they're not... Read Article

 

No-prep Procelain Veneers - Dear Doctor Porcelain Veneers – Without A Drill
No drilling — reality or ridiculous? A no-drill technique requires a second look, as new materials and concepts have created new esthetic possibilities. Reactions and opinions among dentists have ranged from absolute disbelief to moderate acceptance. This article gives hope and reasons for patients to get excited about this conservative drill-free cosmetic technique... Read Article

 

Cosmetic Dentistry - Dear Doctor Magazine Cosmetic Dentistry - A Time For Change
Join us as we review the myriad of possibilities available to you for cosmetic dental change. But the biggest part is not just how your smile looks, it's how you feel when you show it... Read Article

 

Dental Implants - Dear Doctor Magazine Dental Implants - Your Third Set of Teeth
A discovery fifty years ago paved the way for one of dentistry's most exciting, natural looking and successful tooth replacement systems. Learn how dental implants might just possibly change your life... Read Article

 

Tooth Decay - Dear Doctor Magazine What is Tooth Decay?
Tooth Decay is an infection, and many people don't realize that it is preventable. This article is the first in a series about tooth decay, perhaps the number one reason children and adults lose teeth during their lifetime. Explore the causes of tooth decay, its prevention and the relationship to bacteria, sugars and acids... Read Article

 

Tooth Decay – Dear Doctor Magazine Tooth Decay
Don't wait for cavities to occur and then have them fixed — stop them before they start. Modern dentistry is moving towards an approach to managing tooth decay that is evidence-based — on years of accumulated, systematic, and valid scientific research. This article discusses what you need to know to assess your risk and change the conditions that lead to decay... Read Article

 

Tooth Colored Fillings - Dear Doctor Magazine The Beauty of Tooth Colored Fillings
The public's demand for aesthetic tooth colored (metal free) restorations (fillings) together with the dental profession's desire to preserve as much natural tooth structure as possible, has led to the development of special "adhesive" tooth colored restorations... Read Article

 

Wisdom Teeth – Dear Doctor Magazine Wisdom Teeth – To Be Or Not To Be
Facts you need to know about these curiously named teeth. They are so-called because a moderate amount of wisdom is supposedly achieved at about the same time these teeth typically make their appearance. This article will review the problems associated with wisdom teeth and whether or not they should be removed... Read Article

 

Oral Hygiene - Dear Doctor Magazine Oral Hygiene - Dental Health for Life
The best tools for maintaining your oral health and minimizing dental problems are a quality toothbrush, toothpaste, a roll of dental floss, approved mouthwash and good diet. This article cuts through the confusion with a winning game plan for oral health... Read Article

 

Periodontal (Gum) Disease - Dear Doctor Magazine Understanding Gum Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

 

Smile Makeover - Dear Doctor Magazine The Impact of a Smile Makeover
Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they're seeking out ways to improve their smiles. Learn why and what a change could mean for you...Read Article

 

Root Canal - Dear Doctor Magazine “I'd Rather Have a Root Canal...”
A common misconception is demystified. Get the real story about this much maligned procedure that eases pain, rather than causes it... Read Article

 

Invisalign - Dear Doctor Magazine Invisalign Orthodontics
The orthodontic treatment using clear aligners consists of a series of aligners that you change about every two weeks over a course of treatment lasting six to eighteen months depending on how much movement is needed... Read Article

 

Oral Cancer - Dear Doctor Magazine Oral Cancer
This article may just save your life. Learn how to notice any unusual lesions (sores or ulcers) anywhere in your mouth that do not heal within two-three weeks. Early detection is key... Read Article

 

Implant Overdentures - Dear Doctor Magazine Implant Overdentures
Implant overdentures represent a major change for the dental profession and the public. The lower jaw two-implant overdenture may be considered a more appropriate starting point over regular dentures... Read Article

 

TMD - TMJ - Dear Doctor Magazine TMD – The Great Impostor
This “chameleon” of dental disorders manifests in a variety of ways, including joint pain, sinusitus, ear pain, tooth and headaches. The causes of TMD, its signs and symptoms and what can be done to treat this common disorder... Read Article

 

Laser Dentistry - Dear Doctor Magazine Lasers Shine a Light on Dentistry
Lasers have revolutionized medicine and now they're beginning to blaze a new trail in dentistry. Today, at the dawn of the 21st century there are a variety of dental uses for lasers, from diagnosing cavities and the removal of gum and tooth structure to the treatment of disease... Read Article

 

Sedation Dentistry - Dear Doctor Magazine Oral Sedation Dentistry
Step out from under the shadow of fear and into the calm of sedation dentistry. There are safe and time-tested options available to ensure that you have a positive and painless dental experience. Your apprehension and hypersensitivity to pain melt away, yet you remain awake and in control... Read Article

 

Snoring and Sleep Apnea - Dear Doctor Magazine Sleep Disorders and Dentistry
If my partner snores loudly, should I be concerned and what can be done to alleviate the problem? Why does my sleeping partner have lapses in breathing while sleeping and is it dangerous? Why do I wake up exhausted even though I get up to 10 hours sleep at night? The answers to these and more questions and how dentistry can help all revealed within... Read Article

 

About Dear Doctor Dentistry Magazine
Dear Doctor - Dentistry & Oral Health is a dental magazine written for the education of the general public. Dear Doctor provides information that is accurate, authoritative, and trustworthy on all aspects of dentistry and oral health including teeth whitening, porcelain veneers, dental implants, cosmetic dentistry, smile makeovers and more.

Copyright © 2012 Dear Doctor, Inc. All rights reserved. Copying or reproducing any text or graphics is strictly prohibited.

Antibiotic premedication for dental treatments.Antibiotics are widely prescribed to control bacterial infections. Sometimes they are given before a medical or dental procedure, to prevent a possible infection from occurring; this practice is called "antibiotic prophylaxis." In the recent past, physicians and dentists advised that people with certain medical conditions - including a number of heart problems and several types of bone or joint replacements - should always take antibiotics before many routine dental procedures. Today, their advice may be different.

A growing body of evidence now indicates that far fewer patients need to take this preventive step than was previously thought. As a result, the guidelines for prescribing antibiotic prophylaxis have recently changed - and they may do so again in the future. Why are the recommendations changing - and what do you need to know about taking antibiotics before coming to the dental office?

The Risk of Infection

We all know that bacteria - both helpful and harmful types - thrive in many parts of the body, including the mouth. Whenever circumstances make it possible for these microorganisms to enter the bloodstream, there's a slight risk that a bacterial infection may develop. This could occur in many dental procedures - and it could also occur during routine activities like chewing, brushing and flossing. In most cases, the risk is so small that the chance of a having bad reaction to antibiotics (while rare) is far greater than the chance of developing an infection; therefore, antibiotics aren't routinely used.

Some people, however, need to take extra precautions before having dental procedures. If you have been treated for some types of heart disease, or have had certain orthopedic procedures (including total joint replacement), we may advise taking antibiotics to protect against even a remote chance of infection. Recommendations are made on an individual basis, taking into account your medical history and a clinician's healthcare experience.

Guidelines for Antibiotic Premedication

Prophylactic antibiotics might be recommended before dental procedures if you have one or more of the following heart conditions:

  • A heart transplant
  • Artificial heart valves
  • A history of infective endocarditis
  • Some types of congenital heart problems - particularly if they haven't been completely repaired, or if their treatment involves prosthetic material

If you have undergone a joint replacement procedure, prophylactic antibiotics might be recommended if you also have one or more of the following risk factors:

  • A systemic inflammatory disease such as rheumatoid arthritis or lupus erythematosis
  • A weakened immune system resulting from HIV, cancer, radiation or chemotherapy, or another cause
  • Insulin-dependent (type I) diabetes or hemophilia
  • A history of previous infection in a prosthetic joint
  • Undernourishment or malnourishment

There are other circumstances where taking prophylactic antibiotics would be a prudent step; there are also a number of situations where these medications might have been recommended in the past, but aren't currently required in all cases. For example, the presence of a benign heart murmur, a pacemaker or defibrillator, and certain heart diseases or congenital defects don't automatically mean that antibiotic prophylaxis will be needed.

In recent years, reports of drug-resistant bacteria and harmful side effects from some medications have increased public awareness of the consequences of overusing antibiotics. Fortunately, new scientific research is helping healthcare professionals make better, evidence-based treatment decisions on antibiotic use. If you have questions about whether you should take antibiotics before dental procedure, don't hesitate to ask.

Related Articles

Premedication - Dear Doctor Magazine

Premedication for Dental Treatment If you have had a total joint replacement in the past, you may be advised to take antibiotics before have dental work. That's because certain preexisting health conditions may make you more susceptible to infection during a dental procedure. Find out what the risk factors are... Read Article