Endodontics and infective endocarditis Ò is antimicrobial chemoprophylaxis required?

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Endodontics and infective endocarditis Ò is antimicrobial chemoprophylaxis required?
Issue online:
10 Aug 2006
Received 30 January 2006; accepted 31 January 2006
To cite this article: M. Brincat, L. Savarrio, W. Saunders (2006)
Endodontics and infective endocarditis - is antimicrobial chemoprophylaxis required?
International Endodontic Journal 39 (9), 671Ò682.
doi:10.1111/j.1365-2591.2006.01124.x
Blackwell Synergy

M. Brincat1
1Department of Periodontology , Glasgow Dental Hospital and School, L. Savarrio2
2Department of Endodontics, Glasgow Dental Hospital and School, Glasgow & W. Saunders3
3University of Dundee Dental School, Dundee, UK

M. Brincat, Department of Periodontology (Level 7), Glasgow Dental Hospital, 378, Sauchiehall Street, Glasgow, G2 3JZ, UK (Tel.: 0141 211 9859; fax: 0141 211 9800; e-mail: mariabrincat@btinternet.com).
Brincat M, Savarrio L, Saunders W. Endodontics and infective endocarditis Ò is antimicrobial chemoprophylaxis required? International Endodontic Journal, 39, 671Ò682, 2006.
Abstract

The purpose of this review is to evaluate the evidence implicating nonsurgical endodontic procedures in inducing infective endocarditis (IE). The literature is reviewed and findings about dental procedures that elicit bacteraemia [in particular root canal treatment (RCT)], sequelae of bacteraemia, relationship between IE and RCT and variation between antibiotic prophylaxis (AP) guidelines are highlighted. At present, there is still significant debate as to which dental procedures require chemoprophylaxis and what antibiotic regimen should be prescribed. Currently, there are insufficient primary data to know whether AP is effective or ineffective against IE. Practitioners are bound by current guidelines and medico-legal considerations. Thus, the profession requires clear, uniform guidelines that are evidence-based.

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