Phone: (847) 605.8880

1701 E. Woodfield Rd.
Schaumburg IL, 60173

Antibiotic Prophylaxis Requirements

The American Heart Association has recently changed their recommendations for infective endocarditis prophylaxis in association with dental/endodontic procedures. It is no longer recommended that patients with Mitral Valve Prolapse, Previous Rheumatic Fever, Isolated Atrial Septal Defect as well as several other previously recommended conditions premedicate with antibiotics prior to endodontic procedures, including surgical procedures.

Cardiac conditions still requiring antibiotic prophylaxis include:

– Prosthetic Heart Valve
– Previous case of Infective Endocarditis

These Congenital Heart Disease (CHD) Conditions:

– Completely repaired CHD with prosthetic material during the first 6 months following the procedure
– Repaired CHD with residual defect after prosthetic patch
– Cardiac transplant patients that developed cardiac valvulopathy

Please follow the advice of your physician regarding these recent changes. It is to your benefit not to pre-medicate for dental procedures if no longer necessary.

In light of current American Heart Association Recommendations, if your physician still recommends that you require antibiotic prophylaxis prior to dental/endodontic procedures, the following regimens are recommended:

Amoxicillin – 4/500 mg. tablets an hour prior to appointments (2000 mg.)

Clindamycin – (for those who are allergic to penicillin): 2 – 300 mg. capsules one hour prior to appointments (600 mg.)

In special cases first or second generation cephalosporins may be used.

Our mission is to provide the highest quality endodontic care in a compassionate, professional manner that emphasizes attention to detail and an uncompromising personal respect.


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