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

Concentration of secretory sIgA immunoglobulin in saliva of patients following surgical extraction of lower third molar and application of a cycle of laser biostimulation treatments

Introduction. Laser biostimulation through photobiochemical phenomena occurring on the molecular and enzymatic level of cells, determined as primary processes, induces secondary effects including analgesic, anti-inflamma...

Cognitive functioning changes as the effect of complex treatment of masticatory organ dysfunction

Introduction: Among a number of tangible benefits achieved by patients as a result of comprehensive treatment of functional disorders of chewing organ comprising reduction of pain can be mentioned. This effect is associa...

PRO MEMORIA Profesor Zofia Knychalska-Karwan (1922-2016)

Streszczenie Zwyczajowa formuła, że 28 lipca 2016 roku „odeszła od nas”, w odniesieniu do Pani Profesor Zofii Knychalskiej-Karwan, ma szczególną wymowę dosłowności. Każdy bowiem z nas – Jej byłych studentów, pacjentów i...

Assessment of the antimicrobial activity of Selol

Introduction: The modern techniques of caries prevention are multidirectional, related to elimination or reduction of the etiological agents influence. One of the commonly recommended methods is the use of chemical subs...

Sprawozdanie z Sympozjum Gloria Orthodontiae 2010.

Sympozjum odbyło się 7 XII 2010r. w Krakowie

Download PDF file
  • EP ID EP57664
  • DOI -
  • Views 85
  • Downloads 0

How To Cite

Adam Chiżyński, Halina Pawlicka, Krzysztof Chiżyński (2012). Infective endocarditis prevention prior to dental procedures. Journal of Stomatology (Czasopismo Stomatologiczne), 65(5), 729-738. https://europub.co.uk/articles/-A-57664