At Brookside Dental Care, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.
For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.
The goal of pre-medication or antibiotic prophylaxis, the doctor will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.
The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:
For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.
Other patients who require prophylactic antibiotics
The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.
The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.
Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.
Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.
For more information about antibiotic prophylaxis, or to schedule an appointment with the doctor, please give us a call at our convenient STOCKTON, California office!
Katika Brookside Dental Care, tunajua kinywa cha binadamu kina bakteria nyingi. Bakteria inaweza kusafiri kupitia mwili wako na shughuli za kawaida ambazo ni sehemu ya kawaida ya maisha ya kila siku. Utafanya hivyo kwa kutumia brashi au floss, na pia kwa kutafuna. Kwa watu wengi, bakteria hazisababishi tatizo lolote. Hata hivyo, kwa watu wengine, hasa wale walio na magonjwa ya kudumu, magonjwa ya moyo, au ambao mfumo wao wa kinga umeharibika, bakteria inayosambaa katika damu inaweza kusababisha maambukizo mabaya zaidi ya bakteria. Lengo la matibabu ya kabla ya matibabu au kuzuia viuavijasumu, daktari atakuambia, ni kuzuia endocarditis ya bakteria, maambukizi mabaya ya uso wa moyo wa endothelial au valves za moyo. Hali hiyo pia huitwa endocarditis ya kuambukiza. Idadi ndogo ya watu walio na matatizo fulani ya afya wana hatari kubwa ya kuambukizwa bakteria hiyo inayoweza kusababisha kifo. Chama cha Moyo cha Marekani (AHA) kinasema kuwa watu walio katika hatari kubwa ya kupatwa na ugonjwa wa endocarditis ni: Kwa wagonjwa hawa, utaratibu wowote wa meno unaweza kusababisha kutokwa na damu, na utawala wa dawa za kuua viini unapendekezwa kama hatua ya kuzuia. "Kama ilivyoelezwa hapo juu, ""Chama cha Marekani cha Endodontists"" inatoa mapendekezo kwa wagonjwa ambao wamepitia upasuaji wa kubadilisha viungo ndani ya miaka miwili iliyopita, wana ugonjwa wa kisukari wa aina ya 1, au wana upungufu wa kinga kutokana na magonjwa kama vile lupus, rheumatoid arthritis, au HIV; wagonjwa wa kansa ambao mifumo ya kinga imezimwa kwa sababu ya mionzi au chemotherapy; watu ambao wamepatiwa viungo." American Academy of Pediatric Dentistry pia inajumuisha watu ambao wanakabiliwa na anemia ya seli ya sickle, pamoja na wagonjwa ambao wanakabiliwa na hali ambazo zinahitaji matibabu ya steroid ya muda mrefu. Utaratibu wa kawaida wa endodontic ambao unashauriwa kwa dawa za kuua viini ni pamoja na tiba ya mfereji wa mizizi (wakati inahusisha kwenda kina zaidi ya kilele cha mzizi), uchimbaji wa meno wa upasuaji, na utaratibu mwingine wowote wa meno, endodontic, au periodontal wakati ambao daktari anatarajia kutokwa na damu. Ingawa vyama na mashirika mbalimbali ya matibabu hutoa miongozo hii kama njia ya kutambua wagonjwa ambao matibabu ya kabla ya matibabu ya meno ni muhimu kabla ya taratibu za meno, madaktari wa meno watachukua historia ya matibabu ya kila mgonjwa na sababu za hatari za kibinafsi. Madaktari wanaweza kuchagua kutumia dawa za kuua viini baada ya upasuaji, hasa kwa wagonjwa ambao wamepatwa na maambukizo ya mdomo kabla ya upasuaji wa meno au ambao walihitaji upasuaji wa mdomo. Kwa habari zaidi kuhusu kuzuia viuavijasumu, au kupanga mkutano na daktari, tafadhali tupigie simu katika ofisi yetu ya STOCKTON, California!