Pre Medication

              There is so much bacteria in the human mouth that researchers don't even know exactly how many species there are, let alone how to count them or how fast they grow. Estimates of the number of bacterial species in the mouth vary between 500 to 650 different species. They live on the teeth and tongue, of course, but biofilms also cover the cheeks and oral mucosa.

             Unfortunately for some people if this bacteria enters the blood stream it can cause serious infections through out their bodies! This is why Antibiotic Prophylaxis, or Pre Med, is so important.

              According to the guidelines developed by the American Dental Association, The American Association of Orthopedic Surgeons, and the American Heart Association; Pre Med should be considered for anyone with:

• artificial heart valves
• a history of an infection of the lining of the heart or heart valves (Infective Endocarditis)
• a heart transplant in which a problem develops with one of the valves
• heart conditions that are present from birth, such as:
• unrepaired cyanotic
• palliative shunts and conduit
• defects repaired with prosthetic materials or devices
• orthopedic implants
• artificial joints along with
• diabetes
• rheumatoid arthritis
• cancer
• chemotherapy
• chronic steroid use

              Some people used to be able to stop taking the antibiotic after two years but the new guidelines state that if you are living with any of these conditions you should be taking the antibiotic 1 hour before your dental treatment for the rest of your life. 

           The guidelines were recently changed when scientific evidence showed that in some cases the adverse reactions to the antibiotics outweigh the benefits of the Pre medication.  If you have any questions regarding the guidelines consult with your dentist, cardiologist, or orthopedic surgeon!