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Some Patients Might Need Antibiotics Before Routine Dental Work

SomePatientsMightNeedAntibioticsBeforeRoutineDentalWork

Office cleanings and other minor procedures are a routine part of regular dental care. For some people, though, a routine visit could put them at slight risk for a serious illness.

The reason for this concern is a condition known as bacteremia. This occurs when bacteria, in this case from the mouth and conceivably during an office cleaning or other routine dental procedure, enters the bloodstream. Although for most people this isn’t a great issue, there’s been concern that bacteremia could further compromise the health of patients with or susceptible to other conditions like endocarditis (heart inflammation), prosthetic joints or compromised immune systems.

This concern grew out of a number of studies in the early 20th Century that seemed to show a link between dental bacteremia and infective endocarditis. At about mid-century it became a common practice to administer antibiotics before dental work (usually 2 grams of amoxicillin or an equivalent about an hour before) to high risk patients as a way of protecting them against infection. The practice later expanded to other health issues, including many heart conditions.

Beginning in 2007, however, guidelines developed jointly by the American Heart Association and the American Dental Association reduced the number of conditions recommended for antibiotic therapy. Based on these guidelines, we now recommend pre-procedure antibiotics if you have a history of infective endocarditis, artificial heart valves, certain repaired congenital heart defects, or heart transplant that develops a subsequent heart valve problem. Patients with prosthetic joints or immune system problems are no longer under the guidelines, but may still undergo antibiotic therapy if believed necessary by their individual physician.

If you have a condition that could qualify for antibiotic therapy, please be sure to discuss it with both your dentist and physician. We’ll work together to ensure any dental work you undergo won’t have an adverse effect on the rest of your health.

If you would like more information on antibiotic therapy and dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Antibiotics for Dental Visits.”

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5640 W Broadway Ave Crystal, MN 55428-3510

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Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

7:00 am-4:00 pm

Friday:

8:00 am-1:00 pm

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Closed

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What Our Clients Say About Us

  • "This is a very professional place, but the atmosphere is so upbeat!!!! From the start of my interaction with the staff upon my leaving it was such a wonderful way to be treated. Everyone was so kind, caring, and considerate of my situation. They really put me at ease. The staff is Amazing!!!! I was overwhelmed by the experience. Thanks Crystal Dental Care!"
    Jon S.
  • "Michelle and Dr.Murphy were very helpful. Front desk ladies Tammy and I do apologize for forgetting the other ladies name, were so nice a welcoming. Everything was explained to me and I actually learn something regarding Diabetes and your oral health. Thanks again guys I will be back to get some treatments done in a few weeks."
    Shamika D.
  • "Great customer service! Wendy was so nice and super helpful with setting my appointment up and making sure I had all the right information. Thank you I will definitely refer everyone I know!"
    Queen A.
  • "Every staff member was kind and welcoming. I received clear and precise answers to all of my questions. Both the assistant and the dentist were gentle and respectful. I was given multiple options for a treatment plan with no pressure or up sales. It felt like affirming medical care. I’m looking forward to being a responsible and long term patient."
    Tobias B.
  • "Amy did a Fantastic job. She really put all of her skills in the cleaning. Probably the best cleaning I've ever had."
    Santos B.