Dr. John Hubbard and Dr. Kelly Chotowetz

Medical Considerations

Medical Considerations

PLEASE DISCUSS ANY CONCERNS YOU MAY HAVE WITH YOUR DENTIST'S OFFICE PRIOR TO YOUR SCHEDULED DENTAL APPOINTMENT

At Summit Dental we follow the guidelines and protocols set out by the Canadian Dental Association concerning antibiotic prophylaxis for dental patients with total joint replacements.

http://www.cda-adc.ca/_files/position_statements/antiobiotic_prophylaxis_joint.pdf

At Summit Dental we follow the guidelines and protocols set out by the Canadian Dental Association concerning antibiotic prophylaxis for dental for antibiotic prophyaxis prior to dental procedures to prevent infective endocarditis.

http://www.cda-adc.ca/_files/position_statements/infective_endocarditis.pdf

The guidelines state that prophylactic antibiotics, which were routinely administered to certain patients in the past, are no longer needed for patients with:

  • mitral valve prolapse
  • rheumatic heart disease
  • bicuspid valve disease
  • calcified aortic stenosis
  • congenital heart conditions such as ventricular septal defect, atrial septal defect and hypertrophic cardiomyopathy.

Only those at greatest risk of developing infective endocarditis - an infection of the heart's inner lining or the heart valves - should receive short-term preventive antibiotics before common, routine dental and medical procedures. People who should take antibiotics include those with:

  1. artificial heart valves
  2. a history of infective endocarditis
  3. certain specific, serious congenital (present from birth) heart conditions, including
    • unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits
    • a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure
    • any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device
  4. a cardiac transplant that develops a problem in a heart valve.

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