Does antibiotic prophylaxis reduce endocarditis risk after dental procedures?

Considering the side effects of antipsychotics, the investigation of safely reducing or discontinuing patient’s treatment was important.

The study assesses the impact of antibiotic prophylaxis on the incidence of infective endocarditis following invasive dental procedures, specifically focusing on the risk reduction for high-risk individuals.

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Antibiotics to prevent bacterial endocarditis following dental procedures

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This Cochrane review update of antibiotic prophylaxis before invasive dental procedures in people at risk or at high risk of bacterial endocarditis included one case-controlled study. Consequently, there is no clear evidence about whether antibiotic prophylaxis is effective or ineffective against bacterial endocarditis in at-risk people who are about to undergo an invasive dental procedure.

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Tooth extraction: Do antibiotics prevent complications?

The authors sought to review available literature relating to SSRI withdrawal syndromes

This Cochrane review update of the effect of systemic antibiotic prophylaxis on the prevention of infectious complications following tooth extractions included 23 studies. There was very-low certainty evidence that prophylactic antibiotics may reduce the risk of infection and dry socket following third molar extraction compared to placebo.

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Top Dental Elf Blogs Apr– Jun 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

The Cochrane review of interdental cleaning devices, whether antibiotics are needed for dental implant placement and oral health programmes for people with intellectual difficulties were our most popular blogs of the spring.

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Dental implant placement: which antibiotic protocol?

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This review of the the effectiveness of different antibiotic protocols to prevent early dental implant failure includes 9 RCTs showing that antibiotics were protective against early implant failures.

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Antibiotic prophylaxis for dental implants in healthy patients, is it necessary?

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This review of the efficacy of antibiotic prophylaxis in dental implant placement for prevention of post-operative infection included 10 RCTs analysis indicatingthat antibiotic prophylaxis may not be necessary in health patients.

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Orthognathic surgery: limited evidence on antibiotic prophylaxis?

The authors sought to review available literature relating to SSRI withdrawal syndromes

2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.

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Infective endocarditis prophylaxis – NICE reaffirms 2008 guidance

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NICE has completed a review of its 2008 guidance on antimicrobial prophylaxis against infective endocarditis following the publication of a recent study. NICE found no need to change any of its existing guidance.

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Antibiotic prophylaxis and dental implant failure

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This review of antibiotic prophylaxis during dental implant placement considered both systematic reviews and RCTs. Evidence from the 10 included RCTs suggests a small reduction (2%) in the risk of implant loss. These results are similar to a recent Cochrane review.

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Prosthetic joints: prophylactic antibiotics not recommended before dental procedures

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The latest recommendation from the ADA indicates that prophylactic antibiotics are not needed for patients with prosthetic joints undergoing dental treatments. The finding are based on 4 case-controlled trials that are considered to provide moderate evidence of no association.

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