Oops, first appointment with dentist

My husband was also told that he needed a single antibiotic 1 hour before any dental procedure, including routine cleanings, for the next two years and the surgeon gave him a script to fill "before your next cleaning". The surgeon said when you get gum bleeding during dental work bacteria can enter the bloodstream which could result in an infection. I was curious so did some reading and found this is based on AMA/ADA guidelines from 2003 but more recent studies have shown that the risk is minimal to non existent. However lots of surgeons and dentists still recommend this one off antibiotic as a precaution.

 

I have to take (4) 500mg Amoxicillan 1 hour before dental procedure...It's the worst bacteria that could get into your blood, we actually need antibiotics for all surgeries...

There are conflicting messages from different dental sbd medical sources fearing bacteria might enter the bloodstream during a dental procedure. Some dentists will work on you if you refuse to pre-medicated. Despite chances are very slim, I would follow my doctor guidelines.

Good luck

I truly think that this is a case of personal preference. One can follow one's surgeon's guidelines.And/or one can research this and find conflicting studies, e.g. there certainly are studies that have determined that antibiotics are unequivaocally not needed before dental treatments (the Bonesmart patient forum has posts on this). It depends upon your surgeon's perspective, what research s/he has read, etc. And there's antibiotics resistance to remember. Again, I think in in the end, it's whatever decision you're comfortable with.

I went last night, said he could do a clean, so I asked about anti-biotics, he said it used to be all the time,but it was changed, said it would be best to check with the consultant first, so my cleaning will wait until next time.

hi luv,

I don't know anymore. ..surgeon told me that antibiotics would be needed for deep gum cleaning and something invasive. ..

dentist is not concerned. ..1st dental appointment is May 11 ...

just a check up. .

big warm hug

Renee 🐱

I think the guidelines in the UK are different to US. I had the root of a broken crown removed at 6 months post op and the dentist said I didn't need antibiotics and I should check with the surgeon. He said I didn't need it either - there was no evidence it was of any value but there was plenty of evidence that we were becoming immune to antibiotics (or the bacteria was) due to over use.

I was told to take two 500 mg of Keflex for every dental for the first 2 years after the replacement in the USA

Your mouth has more bacteria than any other part of your body.  They always require antibiotics before cleaning, because bacteria goes directly through the bloodstream to the most current surgery. They require it at least 2 years, but I have been taking them for 4 years so far.  My dentist gives me a years supply.