Polymicrobial

Biofilm formation in canals (isthmuses, fins and

ramifications) and on external root surfaces
PA
Dx?
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Courtesy of AAE Colleagues for Excellence
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Prevention of Infective Endocarditis:
Guidelines of the American Heart Association
· Previous Hx endocarditis
Cardiac conditions associated with the highest risk
of
adverse outcome from endocarditis for which
prophylaxis with dental procedures is reasonable.

Prosthetic cardiac valve or prosthetic material used for cardiac valve repair
Completely repaired congenital heart defect with prosthetic material or
device, whether placed by surgery or by catheter intervention, during the first
six months after the procedure†

Repaired CHD with residual defects at the site or adjacent to the site of a
prosthetic patch or prosthetic device (which inhibit endothelialization)

Cardiac transplantation recipients who develop cardiac valvulopathy

* Except for the conditions listed above, antibiotic prophylaxis is no longer recommended for any other form of CHD.
† Prophylaxis is reasonable because endothelialization of prosthetic material occurs within six months after the procedure.
BEST ADVICE: LET THE ORTHOPAEDIST MAKE THE CALL!
Journal of AAOS, 2013
AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
RECOMMENDS ANTIBIOTIC PROPHYLAXIS
FOR ALL PATIENTS WITH PROSTHETIC JOINTS

ANTIMICROBIAL DOSE TIMING

AGENT

CEPHALEXIN 2gmPO 1 HOUR PRIOR

CEPHRADINE 2 gmPO 1 HOUR

PRIOR

AMOXICILLIN 2 gmPO
1HOURPRIOR
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· Potential for a
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https://youtu.be/2-dDlMOofvc?t=12
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NEW MEANS OF DISINFECTING
ROOT CANAL SYSTEMS

PHOTODYNAMIC THERAPY

NANOPARTICLES
Antibacterial Nanoparticles in Endodontics: A
Review, Annie Shrestha, Anil Kishen
Journal of Endodontics, Vol. 42, Issue 10, p1417–
26, 2016
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2.5 mg / 325 mg
5.0 mg / 325 mg
7.5 mg / 325 mg
7.5 mg / 500 mg
10 mg / 325 mg
10 mg / 650 mg
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http://www.njconsumeraffairs.gov/prescribing‐for‐pain
NJ OPOID POLICY pdf: acute pain
https://www.njconsumeraffairs.gov/prescribing‐for‐pain/Documents/Dentistry ‐Rule ‐
Language.pdf
 CORTICOSTEROI
DS

MEDROL DOSE PACK

Methylprednisolone 4mg tablets

Start 24mg first day

Tapering down by 4mg/day over course of 6 days

Severe Flare-ups

Sodium Hypochlorite Accidents