Dental Antibiotic premedication | Crack AIPGDEE 2015

For what dental procedures antibiotic premedication need not be recommended in patients identified as being at risk for endocarditis?

a. Periodontal procedures including, scaling and root planing, probing, and recall maintenance
b. Endodontic instrumentation or surgery only beyond the apex
c. Subgingival placement of antibiotic fibers or strips
d. Local anesthetic injections

The correct answer is D:

 Antibiotic premedication need not be recommended in following patients to prevent endocarditis

      Restorative dentistry (including restoration of carious teeth and prosthodontic replacement of teeth) with or without retraction cord (Clinical judgment may indicate antibiotic use in selected circumstances that may create significant bleeding)

        • Local anesthetic injections (nonintraligamentary)       

      • Intracanal endodontic treatment (after placement and build-up)

• Placement of rubber dams                                              

• Postoperative suture removal

• Placement of removable prosthodontic or orthodontic appliances      

• Making of impressions

• Fluoride treatments                                                                               

• Intraoral radiographs

• Orthodontic appliance adjustment                                                    

• Shedding of primary teeth