What Endocarditis high-risk patients require specific care?
Some people are at high risk of developing an infection of the heart’s inner lining (bacterial Endocarditis). These patients must take special care to practice good oral hygiene every day. Traditionally, many of these patients were advised to take antibiotics before having dental work; however, the American Heart Association revised their guidelines to state that only people at the highest risk of developing bacterial Endocarditis will reasonably benefit from taking preventive antibiotics before certain procedures.
All patients scheduled for valve surgery need to have excellent oral hygiene and see a dentist before surgery because unhealthy teeth are one source of bacteria that can cause Endocarditis. (5)
Cardiac conditions that require endocarditis prophylaxis
The following forms of congenital heart disease (CHD):
Any cyanotic heart disease
Dental Procedures in Adults and Children
Endocarditis prophylaxis is NOT recommended for the following procedures
✔️Routine anesthetic injections through non-infected tissue
✔️taking dental radiographs
✔️placement of removable prosthodontic or orthodontic appliances
✔️adjustment of orthodontic appliances
✔️placement of orthodontic brackets
✔️shedding of deciduous teeth
✔️bleeding from trauma to the lips or oral mucosa, which also includes treatment of superficial caries, removal of sutures, etc. (6)