The following cardiac conditions warrant infective endocarditis (IE) prophylaxis for some dental and surgical procedures:
Prosthetic cardiac valve or prosthetic material used for valve repair
Previous infective endocarditis
Congenital heart disease (CHD)
Unrepaired cyanotic CHD, including shunts and conduits
Completely repaired congenital heart defect with prosthetic
material or device during the first 6 months after the procedure
Repaired CHD with residual defects at the site or adjacent to
the site of a prosthetic patch or prosthetic device
Cardiac transplantation recipients who develop cardiac valvulopathy
Prophylaxis is recommended for all dental procedures involving manipulation of gingival tissue or periapical region of teeth or oral mucosa perforation.
Prophylaxis is NOT required for routine anesthetic injections, dental radiographs, placement of removable orthodontic appliances, adjustment of orthodontic appliances, placement of orthodontic brackets, shedding of deciduous teeth, and bleeding from trauma to the lips or oral mucosa. IE prevention standard prophylaxis is Amoxicillin 50 mg/kg (Maximum dose 2 grams) by mouth 1 hour prior to the dental procedure.