Dental Work

Is it necessary to take 2 grams of antibiotics before a visit to the dentist for a dental bridge? Pacemaker biotronik Enitra 6 DT implanted 7 weeks ago. Thanks.

 

3 Comments

Depends - have you asked?

by Gemita - 2024-02-14 04:09:15

Bernardino, you should be guided by your dentist and by your cardiologist who will know your medical condition(s).  

Before root canal treatment for example, I have had to take antibiotics to help control any infection and/or to reduce swelling before dental work could safely and effectively be done, so it very much depends on why they are recommending the 2 grams of antibiotic?   Have you asked? 

I know guidelines have changed in many countries about the use of antibiotics prior to and after dental treatment, particularly if we do not have a strong indication for an antibiotic, but only your dentist/cardiologist can really advise on what will be best for you personally?  

before dental work

by new to pace.... - 2024-02-14 05:59:10

I was told not because of  my pacemaker.  But because of my reverse shoulder replacement.

new to pace

Dental bridge - YES

by crustyg - 2024-02-14 06:09:54

Plenty of opportunity for pathogens to get into your circulation from something as invasive as bridge work.

Simple scale, polish, probably not.

UK NICE changed their guidance a while back (against routine usage of antibiotics for heart implant patients undergoing dental procedures) and there's published evidence that this is wrong.

My experience: dental extraction (upper molar) last year, had symptoms of bacteraemia within 3hrs.  Happily on correct antibiotic prophylaxis.

Don't gamble your life: if they recommend prophylaxis, take it.

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