Let’s start off with some definitions:

Prophylaxis – just action taken to prevent a disease

Bacteremia – when bacteria are allowed to enter the bloodstream

Most of the time bacteremia is not a problem because our bodies work to prevent this bacteria from harming our bodies, but people with some medical conditions may be at risk. If you have any of these past issues, your dentist may talk to you about antibiotics.

1. Cardiac Conditions. Antibiotics before dental procedures may be given to people with heart problems such as:

• Artificial heart valves
• History of infective endocarditis (infection of the lining of the heart valves)
• A heart transplant with complications
• Heart conditions from birth

2. Compromised Immunity. Certain other medical conditions can make your immune system weaker and more susceptible to bacteremia.

• Sickle cell anemia
• Head and neck radiotherapy
• Autoimmune diseases such as juvenile arthritis and lupus
• Diabetes
• Chronic steroid usage
• Immunosuppression because of HIV, SCIDS, chemotherapy, hematopoietic stem cell or solid organ transplantation

3. Joint replacements. Sometimes antibiotics can be prescribed for people who have had joint replacements. Some complications from bacteria after dental procedures can cause complications that may lead to the loss of the joint or even mortality. This is the most debated issue. In the last few years, professionals have debated whether or not antibiotics are imperative for people with joint problems. It’s best just to let your dentist know about this possibility, so he/she is aware.

Every person is different when it comes to the effects of a dental procedure. Just because you have one of these issues doesn’t always mean that you will be prescribed antibiotics and you may be prescribed antibiotics even though you have not had any of these past complications. Tell your dentist about your prior medical and dental history. If you have questions, contact us today.