Issue link: http://read.dmtmag.com/i/195015
AntiBiotiCS AnD DentAl treAtment Who should take preventive antibiotics? The American Heart Association recommends antibiotics for patients who would be in the most danger if they developed a heart infection. NEW This brochure clarifies who should take antibiotics before dental treatment and who should not. Taking into account the current AHA recommendations, it also addresses antibiotic prophylaxis for patients with orthopedic implants. Asks patients to consider the downsides of antibiotics as well as possible benefits. Encourages patients with questions to discuss antibiotics with their dentist and physician. W307 6 panels What is the dental connection? Bacteria normally are found on and in some parts of the body, including the skin and mouth. The bacteria in the mouth can enter the bloodstream. This can happen during some dental treatments, like teeth cleanings, or even from daily activities like chewing, toothbrushing, and flossing. For most people, the body's immune system fights any bacteria, so the risk of infection stays low. There's concern that for some people, bacteria in the bloodstream can cause an infection of the heart lining or valves (infective endocarditis) or an infection of an orthopedic implant (such as artificial joints or metal plates or rods). 50 per pack QTY MEMBER RETAIL 50 $26.00 $39.00 100 $45.50 $68.25 500 $192.00 $288.00 1,000 $325.00 Because of this concern, some people with certain heart conditions and orthopedic implants are told to take antibiotics before having certain dental treatments. This is done with the belief that antibiotics might help prevent infective endocarditis or an implant infection. Taking antibiotics before dental treatment is called antibiotic prophylaxis (or preventive medicine). If you have one of these heart conditions, your dentist or physician may recommend that you take an antibiotic before dental treatment: Why shouldn't everyone wi heart condition or orthope implant take preventive antibiotics? • artificial heart valves • a history of infective endocarditis • certain specific, serious congenital heart conditions, including: ° unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits ° a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure ° any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device The American Dental Association and Am Academy of Orthopedic Surgeons also d recommend antibiotics for all dental pat have had orthopedic implants. However people with orthopedic implants may deci antibiotics. For example, people who ha immune systems are at greater risk for art infection. Diabetes, rheumatioid arthritis chemotherapy, and chronic steroid use can the immune system. All patients should tal dentists and/or physicians before deciding or not to take antibiotics. In most cases, taking antibiotics is more to cause a problem than defend against Antibiotics can cause side effects from stomach problems to severe allergic reac Taking antibiotics can destroy good germ protect against infection. Also, imprope of antibiotics can lead to the developm of drug-resistant bacteria. Talk to your dentist or phys Talk to your dentist or physician if you any questions about antibiotics. If there changes in your health history or the me you take, let your dental office know s can update your records. $487.50 However, there is no scientific evidence to show that bacteria in the bloodstream cause orthopedic implant infections. There is also no scientific evidence that antibiotic prophylaxis defends against infective endocarditis or an implant infection. • a cardiac transplant that develops a problem in a heart valve YOU CAN MAINTAIN A HEALTHY MOUTH BRUSHING TWICE A DAY, CLEANING BET YOUR TEETH DAILY, AND VISITING THE REGULARLY. W307 oSteoPoroSiS meDiCAtionS AnD YoUr DentAl HeAltH This useful tool succinctly explains how bone density, osteoporosis and bone breaks are related and why medications can be important in preventing fractures. Provides patients with the basic facts about osteonecrosis of the jaw (ONJ) and discourages patients from stopping osteoporosis medications without speaking to a physician. Emphasizes that regular dental visits and excellent care of the teeth and gums are the best way to head off ONJ. PERSONALIZE IT #DAB069 W418 6 panels See page 86 50 per pack QTY MEMBER RETAIL 50 $26.00 $39.00 100 $45.50 $68.25 500 $192.00 $288.00 1,000 $325.00 $487.50 W418 HEALTH DrY moUtH rEVISEd Respond to exasperated xerostomia sufferers Dry Mouth with this enlightening brochure. It acknowledges the annoyances of dry mouth while alerting patients to the more serious oral health problems it can cause. Lists the causes of dry mouth and gives ideas for ways to mitigate it. Reminds patients to avoid alcohol and tobacco, keep up their oral health routine and visit the dentist regularly. W279 6 panels 50 per pack QTY MEMBER RETAIL 50 $26.00 $39.00 100 $45.50 $68.25 500 $192.00 $288.00 1,000 $325.00 $487.50 W279 o r D e r o n li n e: a dac ata lo g .o rg ADA_Catalog_PRINT_9.5.indb 57 57 9/5/13 11:35 AM