Antibiotic Premedicationfor Dental Treatments

Antibiotic Premedicationfor Dental Treatments

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

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Lenexa Dentist - Lenexa Dental Office

This page provides you with practical information about our practice. It includes descriptions of our office location, including a map and directions, hours, appointment scheduling, insurance acceptance and billing policies.

Lenexa Family Dental
15220 W 87th St Pkwy
Lenexa, KS 66219
Tel: (913) 888-0005

Office Hours
Monday: 08:00 AM - 1:00 PM
02:30 PM - 05:30 PM
Tuesday: 07:00 AM - 1:00 PM
02:30 PM - 04:30 PM
Wednesday: 08:00 AM - 1:00 PM
02:30 PM - 05:30 PM
Thursday: 07:00 AM - 1:00 PM
02:30 PM - 04:30 PM
Friday:Every other Friday - 09:00 AM - 1:00 PM
Saturday: Closed
Sunday: Closed

Appointments
We know you have many choices when choosing a Dentist in Lenexa, KS so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.

Insurance and Billing
We accept most traditional insurance plans, contact our office to verify acceptance of your plan. Lenexa Family Dental does not participate in Health Management Organizations; however, we will be happy to file your insurance claims for you. We accept checks, cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentist.

Payment Options
We accept check, cash, credit cards and Care Credit (Please see below for Care Credit).

Financing Options
Carecredit CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want when you want it. You can even use CareCredit for your family and favorite pet.

With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.

CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need. Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it.

For more information or to apply online, visit carecredit.com, or feel free to contact our office and our financial coordinator would be more than happy to assist you and answer any questions you may have.