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Dental Surgeons of Ontario
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Frequently Asked Questions - Antibiotic Prophylaxis

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    What is the current guideline on antibiotic prophylaxis for patients with total joint replacement ? What are the recommendations under this consensus statement ? What does the RCDSO recommend to its members? What happens if there is a disagreement between the dentist and the physician regarding the decision to prescribe antibiotic prophylaxis? What is the current guideline on antibiotic prophylaxis for the prevention of infective endocarditis? What are the conditions that are associated with the highest risk of adverse outcome from infective endocarditis for which antibiotic prophylaxis with dental procedures is reasonable? Do patients with stents require antibiotic prophylaxis? My patient has just had heart surgery. Does he or she require coverage? Do all patients with heart valve replacements, whether the valves are prosthetic or originated from humans or animals (e.g. bovine, porcine), require antibiotic prophylaxis? If antibiotic prophylaxis is required for the prevention of infective endocarditis for the patients in the highest risk categories, what is the appropriate regimen? Which antibiotic should be prescribed if a patient is allergic to penicillin or ampicillin? My patient forgot to take the antibiotic. What should I do? I have a patient who is already taking antibiotics. How does that affect the prophylactic regimen?