Subsequent Dental & Surgical Procedures
What kind of antibiotics are recommended?
If you do not have a severe allergy to penicillin: 2 grams of amoxicillin, cephalexin, or cephadrine should be taken 30-60 minutes prior to the procedure. If you have a severe penicillin allergy: 600 mg of Clindamycin may be used 60 minutes prior to procedure. *Please contact the office if you have questions.
You should get preventive antibiotics for the following dental procedures:
- Regular cleaning of teeth where bleeding is anticipated
- Dental Extractions
- Periodontal (Gum) procedures
- Root Canal Surgery
- Dental Implant Placement
- Initial Placement of Orthodontic Bands (Not brackets)
- Injection of local anesthetic into the gums near the jaw
You should get preventive antibiotics for the following surgical procedures:
- Gastrointestinal Procedures (colonoscopy, EGD, bowel surgery)
- Genitourinary Procedures (catheterization, urethral instrumentation)
- Dermatologic Procedures (any procedure violating the integrity of your skin)
- Gynecologic Procedures (any invasive procedure that may cause bleeding)
The current absolute indications for antibiotic prophylaxis include all those with:
- A joint replacement less than 2 years ago
- History of infection in previous joint replacement
- Inflammatory Arthritis (e.g. Rheumatoid arthritis, Lupus, Psoriatic arthritis, etc.)
- An immune system weakened by chemotherapy, disease, or radiation
- Type I (insulin dependent) Diabetes
- Hemophilia
- Poor Nutrition