The Medical Letter on Drugs and Therapeutics
FROM
ISSUE
1399
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.

Subscribe
Subscriptions to The Medical Letter on Drugs and Therapeutics include:
  • Print version published and mailed biweekly (26 issues/year)
  • Unlimited online access to current and past issues (1988 - present)
  • Mobile App for iOS, Android, and Kindle Fire
  • FREE online per issue CME/CE
Purchase this article:
Title: Endocarditis Prophylaxis for Dental Procedures
Article code: 1399b
 Electronic, downloadable article - $45
Gain access through your organization
Ask your librarian to consider an Institutional Subscription to The Medical Letter.
Recommend to your librarian