On this week’s episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH takes a look at prophylactic antibiotics for the reduction of potential infective endocarditis.

 

Quotes: 

 

“As we've continued to see research unpacking some of the risks associated with utilizing antibiotics before a dental procedure, we've actually found that there are incredible risks associated with overuse of antibiotics in our patient population.”

 

“In fact, the guidelines note that people who are at risk for infective endocarditis are actually regularly exposed to oral bacteria during activities like brushing or flossing. And so the statement remains.”

 

“New research from the American Heart Association is encouraging optimal oral health as a key component to reducing the risk of infective endocarditis and may play a more profound role than the concerns of bacterial seeding and subsequent utilization of antibiotics prophylactically before dental procedures.”

 

Resources:

 

DentistRX: https://www.dentistrx.com 

More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ 

 

Katrina Sanders Website: https://www.katrinasanders.com 

Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/ 

 

Sources:

 

Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007;116(15):1736-54.

Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc 2008;139 Suppl:3S-24S.

Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.  Circulation 2017; 135: e1159-e1195.  Accessed February 21, 2019.

Wilson, W. R., Gewitz, M., Lockhart, P. B., Bolger, A. F., DeSimone, D. C., Kazi, D. S., ... & Baddour, L. M. (2021). Prevention of Viridans Group Streptococcal Infective Endocarditis: A Scientific Statement From the American Heart Association. Circulation, CIR-0000000000000969.