WREB

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1. AB prophylaxis Adult 6. Acetaminophen with Child

Amoxicillin 2g hydrocodone 2-13 years <50 kg
0.1-0.2 hydrocodone/kg/
Children dose every 4-6 hours as
50 mg/kg needed
2. AB prophylaxis when Allergic to Cefazolin
Max
penicillin or ampicillin and unable Adult 1g IM or IV
6 doses hydrocodone/day
to take oral medication Child 50mg/kg IM or IV
OR maximum recommended
acetaminophen dosage
Clindamycin
Adult 600mg IM or IV
Adult
Child 20mg/kg IM or IV
>50 kg
3. AB prophylaxis when Allergic to Cephalexin 5-10 mg hydrocodone 4
penicillins or ampicillin—oral Adult 2g times/day as needed
Child 50 mg/kg
Max
Clindamycin 60 mg hydrocodone/day
Adult 600 mg
7. Articaine 4% + 1:100K Epi (or1:200K)
Child 20 mg/kg
Max Dosage 7.0 mg/Kg
Max Total 500 mg
Azitrhromycin
Adult 500 mg 8. Bupivacaine 0.5% + 1:200K Epi
Child 15 mg/kg Max Dosage 1.3 mg/Kg
Max Total 90 mg
4. AB prophylaxis when Unable to Adult 2 g IM or IV
take oral medication 9. CARDIAC CONDITIONS 1 Prosthetic cardiac valve or
Ampicillin Children 1 g IM or IV ASSOCIATED WITH THE prosthetic material used for
50 mg/kg IM or IV HIGHEST RISK OF ADVERSE cardiac valve repair
OUTCOME FROM 2 Previous infective
5. Acetaminophen Children
ENDOCARDITIS FOR WHICH endocarditis
<12 years: 10-15
PROPHYLAXIS WITH DENTAL 3 Congenital heart disease
mg/kg/dose every 4-6
PROCEDURES IS (CHD)*
hours as needed
REASONABLE a Unrepaired cyanotic CHD,
(maximum 90
including palliative shunts
mg/kg/24 hours, but
and conduits
not to exceed 2.6 g/24
b Completely repaired
hours)
congenital heart defect with
prosthetic material or
Adults
device, whether placed by
325-650 mg every 4-6
surgery or by catheter
hours
intervention, during the first
or
six months after the
1000 mg 3-4 times/day
procedure †
as needed (maximum 4
c Repaired CHD with
g/24 hours)
residual defects at the site
or adjacent to the site of a
prosthetic patch or
prosthetic device (which
inhibit endothelialization)
4 Cardiac transplantation
recipients who develop
cardiac valvulopathy
10. Codeine Children 18. Severity of Probing depths - >3 & <5 mm
≤12 years: 0.5-1 mg codeine/kg/dose Periodontitis - Slight Bleeding on probing - Yes
every 4-6 hours as needed; (Mild) Radiographic bone loss - Up to 15%
of root length or >=2 mm <=3 mm
Adults Clinical attachment loss - 1 to 2 mm
1-2 tabs (30-60mg) every 4 hours as
needed. (max 12 tabs/24h)

Tylenol 3 - 300mg acetaminophen and

30mg codeine
11. The following routine anesthetic injections through
procedures and non-infected tissue, taking dental
events do not radiographs, placement of removable
need prophylaxis: prosthodontic or orthodontic
appliances, adjustment of orthodontic
appliances, placement of orthodontic
brackets, shedding of deciduous
teeth, and bleeding from trauma to the
lips or oral mucosa.
12. Ibuprofen Children
<12 years: 4-10 mg/kg/dose every 6-8
hours as needed (maximum 40
mg/kg/24 hours)

Adults: 200-400 mg/dose every 4-6

hours as needed (maximum 1.2 g/24
hours)
13. Lidocaine 2%

1% in 1.7 mL carpule = 17mg

Epi 1:100K in 1.7 mL carpule = 0.017 mg

Max Dosage 4.4 mg/Kg

Max Total 300 mg
14. Mepivacaine 3%
2% if Epi
Max Dosage 4.4 mg/Kg
Max Total 300 mg
15. Prilocaine 4% (or +1:200K Epi)
Max Dosage 6 mg/Kg
Max Total 400 mg
16. Severity of Probing depths - >=5 & <7 mm
Periodontitis - Bleeding on probing - Yes
Moderate Radiographic bone loss - Up to 16-30%
of root length or >3 mm <=5 mm
Clinical attachment loss - 3 to 4 mm
17. Severity of Probing depths - >=7 mm
Periodontitis - Bleeding on probing - Yes
Severe(Advanced) Radiographic bone loss - >30% of root
length or >5 mm
Clinical attachment loss - >=5 mm