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Antibiotics for dental prophalaxis

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Many transplant programs have recomend antibiotic before dental

proceedures because of immunosupression. Many people recieved

antibiotic because of heart murmurs or abnormal heart valves. The new

guidelines from the American Heart Association for antibiotics before

dental proceedures is much narrower than previous guidelines. It

appears that bacteria entering the blood stream from dental proceedures

occurs 10 to 100% where as brushing and flossing it occurs 20-70% of

the time. Now the only conditions are:

artifical heart valve

certain congenital forms of heart disease

Valvuloplasty after cardiac transplant.

Don't take my word for it. A reveiw of the recommendations can be found

at: http://ccjm.org/ccjm_pdfs_toc/Feb08_Kim.pdf

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