Why Some People Take Antibiotics Before Visiting The Dentist
Dentists prescribe prophylactic (to prevent the spread of disease) antibiotics before dental treatment for people with certain medical conditions. The American Heart Association, the American Dental Association, and the American Academy of Orthopedic Surgeons have recommended the guidelines for preventive antibiotics for these medical conditions. The current guidelines were developed for patient well-being, as well as in consideration of the current concern regarding the overuse of antibiotics. The guidelines outline specific medical conditions and provide examples of which dental procedures indicate the need for prophylactic antibiotics.
The risk of infective endocarditis (infection and inflammation of the lining of the heart and its valves) is increased with dental procedures that cause bleeding and the potential release of oral bacteria into the bloodstream of people with certain medical conditions. Individuals who have certain congenital or acquired heart defects, as well as some conditions or abnormalities of the heart, have an increased chance of a bacterial infection.
The link between dental procedures and infective endocarditis is controversial. Not all dental procedures require the use of antibiotic prophylaxis. Dental procedures that have minimal potential to cause bleeding are considered low risk for infective endocarditis. Antibiotic prophylaxis may be indicated for invasive dental procedures that are likely to cause bleeding and release of oral bacteria in the bloodstream.
Also, the release of oral bacteria into the bloodstream appears to increase the risk of developing an infection around a prosthetic joint in people with a depressed immune system. Use of prophylaxis antibiotics is recommended for individuals with total joint replacements who have certain other health conditions.
Antibiotic prophylaxis also can be prescribed for circumstances other than prevention of infective endocarditis and prosthetic joint infections. Some other conditions or situations that may indicate antibiotic prophylaxis include in-dwelling catheters, hemodialysis patients with arteriovenous shunts, shunts for hydrocephalus, oral surgical or operative procedures (depending on the patient's immune system), insulin-dependent diabetes, or diabetics whose disease is poorly controlled.
By Denise J. Fedele, DMD, MS
Dental Costs
Most everyone is feeling the economic pinch in some way or another. We can't pretend the picture is particularly rosy.
On the other hand, we've all heard the term "false economy." In difficult financial times, some people put off the dental care they need and wait for things to "get better." When it comes to dentistry, that's false economy.
We know budgets go through ups and downs. We also believe that catching small dental problems before they grow will, in the long run, save dental costs. A lot of expensive damage can happen over time.
Say you miss a regular cleaning. You're inviting gum problems like gingivitis, which multiply painlessly, to set in. Old fillings can crack or leak - decay may invade the tooth beneath the filling. Inattention to broken restorations eventually means a crown, certainly the more costly alternative to early repair.
Don't put off dentistry. Don't sacrifice your family's health for economy's sake. When it comes to your mouth, in most cases, a small problem only gets bigger - and more expensive. Preventive care is money in the bank.
Your dentist would like you to share your concerns with his or her financial coordinator. They'll do their part by helping you keep healthy with dental financing. For patients who qualify, they probably can arrange a personal dental loan plan for your care. They're there with options. And they believe good dentistry is good economy.
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