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3 Cards in this Set

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In a patient at risk for infective endocarditis, how do you justify NSRCT? Play the devils advocate?

PRO- Baumgartner 1976 JOE- Bacteremia is not produced when endodontic treatment is confined to the root canal.


CON- one person in this group had a positive blood culture, but it was overinstrumented


In a patient at risk for infective endocarditis, how would you safetly complete surgical endodontic treatment ? Whose research backs it up?

You would premedicate them with 2g of amoxicillin, or 600mg clindamyacin (if requested by their doctor) because Baumgartner 1976 JOE- said that apical surgery yields 83% of people to have a transient bacteremia during flap reflection, 33% during curettage and 100% during extraction.

What patients are at risk and therefore need prophylaxic antibiotics as of 2012?

ASA/AAOS says that no antibiotic prophylaxis is necessary, but at dentists we defer to the physician if they would like them