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Why Some People Take Antibiotics Before Visiting The Dentist

Dentists prescribe prophylactic (to prevent the spread of disease) antibiotics before dental treatment for people with certain medical conditions. The American Heart Association, the American Dental Association, and the American Academy of Orthopedic Surgeons have recommended the guidelines for preventive antibiotics for these medical conditions. The current guidelines were developed for patient well-being, as well as in consideration of the current concern regarding the overuse of antibiotics. The guidelines outline specific medical conditions and provide examples of which dental procedures indicate the need for prophylactic antibiotics.

The risk of infective endocarditis (infection and inflammation of the lining of the heart and its valves) is increased with dental procedures that cause bleeding and the potential release of oral bacteria into the bloodstream of people with certain medical conditions. Individuals who have certain congenital or acquired heart defects, as well as some conditions or abnormalities of the heart, have an increased chance of a bacterial infection.

The link between dental procedures and infective endocarditis is controversial. Not all dental procedures require the use of antibiotic prophylaxis. Dental procedures that have minimal potential to cause bleeding are considered low risk for infective endocarditis. Antibiotic prophylaxis may be indicated for invasive dental procedures that are likely to cause bleeding and release of oral bacteria in the bloodstream.

Also, the release of oral bacteria into the bloodstream appears to increase the risk of developing an infection around a prosthetic joint in people with a depressed immune system. Use of prophylaxis antibiotics is recommended for individuals with total joint replacements who have certain other health conditions.

Antibiotic prophylaxis also can be prescribed for circumstances other than prevention of infective endocarditis and prosthetic joint infections. Some other conditions or situations that may indicate antibiotic prophylaxis include in-dwelling catheters, hemodialysis patients with arteriovenous shunts, shunts for hydrocephalus, oral surgical or operative procedures (depending on the patient's immune system), insulin-dependent diabetes, or diabetics whose disease is poorly controlled.

By Denise J. Fedele, DMD, MS

Choosing Dental Financing: Three Reasons Why It Is a Wise Choice

Most of us think that taking care of our teeth is about having a great smile and avoiding the discomfort of a toothache. Although these are valid and important reasons for maintaining a good oral health program, there are three other equally strong reasons to consider.

First of all, dental health is part of your overall health. Second, choosing dental health is a wise investment of your time and dental financing resources. Third, your emotional well-being is influenced by how you think and feel about yourself. Your smile is a big part of your image of yourself. Let's examine each of these areas more thoroughly.

Your Physical Health

How easy it is to forget that our teeth, gums, and mouth are essential parts of our physical body. Periodontal disease, bone and gum loss, and infections all affect the overall picture of our physical health. The ability to chew our food well helps digestion and reduces stress on the gastrointestinal system.

Like any physical system, each part of the body plays a role in the overall health of the system; taking care of your teeth and gums is a part of an intentional plan for physical health. In collaboration with your dental team, you can create a plan for your dental health that will contribute to your overall health plan.

A Wise Investment

There are two important resources that you use and allocate in your everyday life: your time and your money. When it comes to your dental care, they are closely related. The time you take everyday to invest in your dental health is also an investment in your financial health. When treatment is necessary, the dental financing is also an investment in your financial future.

Proper treatment today prevents more costly complications and uncomfortable problems tomorrow. For those who seek to maintain their dental health for life, it is a wise investment to get the most value from the knowledge and skills your dentist and the new dentistry offers you.

Emotional Well-Being

How you feel and think about yourself is an important part of your emotional well-being and a pleasant smile plays a big role in this. In addition, when you take an active role in caring for yourself, it also contributes to your overall sense of competence in managing your life and maintaining a positive lifestyle. The habit of dental self-care and regular dental hygiene examinations reinforces taking positive steps for yourself in other areas of your life.

The new dentistry also can provide you with innovative and effective ways to create and maintain a pleasant smile that you feel good about. When it comes to feeling good about yourself and your smile, the new dentistry offers many exciting and effective options.

By Brian DesRoches, PhD

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