When is infective endocarditis (IE) prophylaxis recommend prior to dental procedures for patients with high cardiac risk?

Updated: Jul 28, 2020
  • Author: Vinh Q Nguyen, MD, FACC; Chief Editor: Buck Christensen  more...
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For patients with high cardiac risk, antibiotic prophylaxis is recommended for all dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa.

The following dental procedures do not require endocarditis prophylaxis:

  • Treatment of superficial caries [2]
  • Routine anesthetic injections through noninfected 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

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