Infective endocarditis prevention prior to dental procedures
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2012, Vol 65, Issue 5
Abstract
Endocarditis is an inflammatory destructive-proliferating process caused by bacteria settling on heart valves or the endocardium. Bacteriemia leading to endocarditis may result from procedures carried out in the oral cavity such as: tooth extraction, periodontal procedures, root canal treatment, and scaling or tooth implantation. Prevalence of transient bacteriemia triggered by various dental procedures ranges from 8 to 100%. Daily activities in the oral cavity (brushing, mastication) may cause streptococcal bacteraemia, and the risk is thousand or million times higher than in the case of a single tooth extraction. The guidelines of the European Society of Cardiology from 2009 recommend to consider (class IIa) endocarditis prevention in the case of persons at high risk of endocarditis (valve prosthesis, past history of endocarditis, cyanotic congenital heart disease, fully or partially corrected, with palliative connections corrected surgically or percutaneously with the use of artificial material, 6 months after the procedure of residual defect in the place of artificial material implantation with surgical or percutaneous method) and only prior to dental procedures such as: tooth extraction, root canal treatment, periodontal procedures, scaling, tooth implantation. For prevention, 1 dose of antibiotic 30-60 minutes before dental procedure (in the case of patients without allergy to penicillin: amoxicillin, ampicillin or alternatively cefalexin, cefazolin, ceftriaxone) is used, and penicillin-allergic patients are recommended to use clindamycin.
Authors and Affiliations
Adam Chiżyński, Halina Pawlicka, Krzysztof Chiżyński
Keywords
Related Articles
- EP ID EP57664
- DOI -
- Views 89
- Downloads 0
Leczenie endodontyczne zębów z zakrzywionymi kanałami
Wprowadzenie. Leczenie endodontyczne zakrzywionych kanałów korzeniowych jest zwykle trudnym i czasochłonnym zabiegiem, podczas którego może dojść do wielu powikłań. Aby uniknąć niepowodzeń, należy stosować odpowiednie in...
Hygiene habits and the condition of oral mucosa in patients using acrylic removable dentures
Introduction. Prosthetic rehabilitation can be considered a success when it leaves the patient with a sense of well-being and when the patient is aware of the need for effective oral hygiene behaviour. Aim of the study....
Ponticulus posticus: radiographic findings on the posterior arch of the atlas vertebrae – review article
The ponticulus posticus is a bony arch located on the posterior arch of the atlas vertebrae. It lies in relationship with the vertebral artery. The presence of ponticulus posticus on the atlas vertebrae has been associat...
Prevention of traumatic injuries and dental treatment of epileptic patients
Epileptic patients constitute a group with specific dental care needs. The necessity to prevent traumatic injuries to the head and oral cavity is emphasized in literature as these occur in this group considerably more of...
Insulin-like growth factor - I (IGF-I) complexes in human saliva
Introduction: At the moment, are detected in the saliva of various biologically active peptides, which include, inter alia, insulin-like growth factors: IGF-I and IGF-II. They circulate in plasma in the form of complexe...