Successfully reported this slideshow.

Dental management of endocarditis in children

2,164 views

Published on

Published in: Health & Medicine, Business
  • Be the first to comment

Dental management of endocarditis in children

  1. 1. Dental Management of Endocarditis in Children Amin Abusallamah
  2. 2. Endocarditis prophylaxis recommended <ul><li>High-risk </li></ul><ul><ul><li>Prosthestic cardiac valves </li></ul></ul><ul><ul><li>Previous bacterial endocarditis </li></ul></ul><ul><ul><li>Complex cyanotic heart disease </li></ul></ul><ul><ul><li>Surgically constructed systemic-pulmonary shunts or conduits </li></ul></ul><ul><li>Moderate-risk </li></ul><ul><ul><li>Most other congenital heart disease </li></ul></ul><ul><ul><li>Acquired valvar dysfunction </li></ul></ul><ul><ul><li>Hypertrophic cardiomyopathy </li></ul></ul><ul><ul><li>Mitral valve prolapse WITH regurgitation and/or thickened leaflets </li></ul></ul>
  3. 3. Dental procedures and IE prophylaxis: Recommended <ul><li>Dental extractions </li></ul><ul><li>Periodontal procedures </li></ul><ul><li>Dental implants and reimplantation of avulsed teeth </li></ul><ul><li>Endodontic proceures </li></ul><ul><li>Subgingival placement of antibiotic fibers and strips </li></ul><ul><li>Initial placement of orthodontic bands (not brackets) </li></ul><ul><li>intraligamentary local anesthetic injections </li></ul><ul><li>Prophylactic cleaning </li></ul>
  4. 4. Dental procedures and IE prophylaxis: Not recommended <ul><li>Restorative dentistry </li></ul><ul><li>Non-intraligamentary local anesthetic injections </li></ul><ul><li>Taking oral impressions </li></ul><ul><li>Fluoride treatments </li></ul><ul><li>Oral radiographs </li></ul><ul><li>Orthodontic appliance adjustment </li></ul><ul><li>Shedding primary teeth </li></ul>
  5. 5. References <ul><li>the Beth Israel criteria for the diagnosis of infective endocarditis in children? Clin Infect Dis 27:1451, 1998 </li></ul><ul><li>Strom BL, Abrutyn E, Berlin JA, Kinman JL, Feldman RS, Stolley PD, Levison ME, Korzeniowski OM, Kaye D. Dental and cardiac risk factors for infective endocarditis. A population-based, case-control study. Ann Intern Med 1998 Nov 15;129(10):761-9 </li></ul>Thank you

×