The Medical Letter on Drugs and Therapeutics
Endocarditis Prophylaxis for Dental Procedures
The full article is available to subscribers Subscriber Login   
Revised 10/2/12: In the Dental Procedures paragraph, 6th line, the word “rubber” has been omitted before the word “bands” because placement of rubber bands does not require prophylaxis; placement of orthodontic metal bands does.

Since 2007, antimicrobial prophylaxis for dental procedures has been recommended only for patients at highest risk of severe consequences from infective endocarditis.1 There is no indication that more limited use of dental prophylaxis since then has led to an increase in the incidence of infective endocarditis.2,3

HIGHEST-RISK PATIENTS — The risk of severe consequences from endocarditis after dental procedures is highest in patients with previous infective endocarditis, prosthetic heart valves, or unrepaired cyanotic congenital heart disease such as tetralogy of Fallot, including those with surgically constructed palliative shunts or conduits. Patients are also considered at highest risk during the first 6 months after repair of congenital heart defects with prosthetic material or a prosthetic device, at any time after a congenital heart repair ... more      

The Medical Letter is a subscriber-funded nonprofit organization that publishes critical appraisals of new prescription drugs and comparative reviews of drugs for common diseases.

Would you like to read the rest of this article?  Gain access below.

Subscriptions to The Medical Letter on Drugs and Therapeutics include:
  • Print version published and mailed biweekly (26 issues/year)
  • Immediate Online access to current issue and archives from 1988 to the present
  • Mobile access to our mobile site and free apps for iOS, Android and Kindle
  • FREE online per issue CME/CE
Free trial offer
3 Free Issues of The Medical Letter on Drugs and Therapeutics mailed to your home or office PLUS online access.
Try a Free Trial Subscription
Purchase this article:
Title: Endocarditis Prophylaxis for Dental Procedures
Article code: 1399b
 Electronic, downloadable article - $25