Dental treatment and recommended management in patients at risk of infective endocarditis

Katarzyna J. Błochowiak

doi:10.5114/kitp.2019.83944

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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vol. 16

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abstract:

Review paper

Dental treatment and recommended management in patients at risk of infective endocarditis

Katarzyna J. Błochowiak

¹

Department of Oral Surgery and Periodontology, Poznan University of Medical Sciences, Poznan, Poland

Kardiochirugia i Torakochirurgia Polska 2019; 16 (1): 37-41

DOI: https://doi.org/10.5114/kitp.2019.83944

Online publish date: 2019/04/04

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Infective endocarditis (IF) is found in high-risk groups with congenital or acquired cardiac defects. It is caused by episodes of short bacteraemia. The magnitude and duration of bacteraemia caused by dental procedures are decreased by using antibiotic prophylaxis (AP). The aim of this study is to describe and discuss all clinical implications related to IF and dental procedures, and AP before invasive dental procedures. Maintenance of optimal oral health and hygiene is more important than AP in decreasing the risk of IF. Routine daily activities are associated with a similar risk of bacteraemia. It is estimated that antibiotics use in dentistry may represent up to 10% of total antibiotics use, and the risk of developing bacterial resistance should be taken into account.

keywords:

Dental treatment and recommended management in patients at risk of infective endocarditis

Katarzyna J. Błochowiak 1

infective endocarditis, bacteraemia, antibiotic prophylaxis, dental surgery

Katarzyna J. Błochowiak

¹