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how often should you have oral prophylaxis

by Milan Lindgren Published 3 years ago Updated 2 years ago
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Usually, a dental prophylaxis visit will follow the same routine:

  1. First, the dental hygienist will discuss your oral health with you and ask about any issues or discomfort
  2. If necessary, they will take X-rays, which may be required every 3, 6, or 12 months depending on your needs
  3. Next, they will examine your mouth for signs of gum disease, tooth decay, and other problems
  4. Then, they will scrape the plaque and tartar from your teeth

Prophylaxis is recommended twice annually as a preventative measure, but should be performed every 3-4 months on periodontitis sufferers. Though gum disease cannot be completely reversed, prophylaxis is one of the tools the dentist can use to effectively halt its destructive progress.

Full Answer

Why is dental prophylaxis required?

What is the first stage of periodontal disease?

Why do people need antibiotics?

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What is dental prophylaxis?

Prevention. Dental prophylaxis is the medical term for procedures that promote oral health. This can include anything from a dental check-up to getting sealants to protect the teeth from cavities. Learn more about the different types of prophylaxis and decide if you could benefit from one of the procedures.

How often do you need an X-ray?

The ADA reports that adults who brush properly and take good care of their teeth (and have no cavities or gum/oral conditions) only need X-rays every couple of years, and up to every three years.

When should a child have their first dental exam?

The American Academy of Pediatric Dentistry recommends that kids have their first dental examination and prophylactic treatment at 12 months of age. Pediatric dentists specialize in helping children who experience fear and anxiety related to dental visits.

Should kids go to the dentist twice a year?

Contrary to many dentists' recommendations, however, the study authors reported that it was not actually cost-effective for children to see the dentist twice each year. The study questioned what the primary reason is that kids don't see the dentist more often with dental issues.

Is antibiotics considered a dental prophylaxis?

Treating dental patients with antibiotics before dental cleaning and/or restorative procedures is also considered a type of dental prophylaxis. 5 

Why is Prophylaxis Dental So Important?

Prophylaxis dental is your first line of defense when it comes to waging a war against the start and further progression of multiple oral ailments , including both gingivitis and periodontal disease, for example.

How Does Prophylaxis Dental Work?

The process and the stages also depend on whether or not you have been diagnosed with having periodontal issues, including periodontal disease.

How is periodontal disease measured?

Periodontal disease is measured in an individual patient from a dentist using a periodontal probe, which is used to measure the overall attachment level of the bone and the ligament that surrounds a single tooth.

What is the cream used for prophylaxis?

Once a full prophylaxis dental procedure has been completed on a patient, it’s very common for a dentist to then use an antimicrobial or antibiotic cream that is placed within the pockets of the gums.

Do oral medications help gums heal?

These types of oral medications help to promote a fast, healthy process of healing within the pockets of the gums, especially if they are very deep, and to help the patient have a comfortable recovery process.

Is prophylaxis good for your mouth?

While most patients understand that regular prophylaxis dental sessions are very important for the health of your mouth, it’s still ideal to understand what the benefits to having regular appointments each year done.

Is antibiotic prophylaxis indicated prior to dental procedures?

Compared with previous recommendations, there are currently relatively few patient subpopulations for whom antibiotic prophylaxis may be indicated prior to certain dental procedures.

Can you take antibiotics for joint replacement?

According to the ADA Chairside Guide, for patients with a history of complications associated with their joint replacement surgery who are undergoing dental procedures that include gingival manipulation or mucosal incision, prophylactic antibiotics should only be considered after consultation with the patient and orthopedic surgeon; in cases where antibiotics are deemed necessary , it is most appropriate that the orthopedic surgeon recommend the appropriate antibiotic regimen and, when reasonable, write the prescription.

Can you give antibiotics prior to dental surgery?

With the exception of the AHA/ACC guidelines regarding prevention of infective endocarditis, 7, 8, 10 there is no general guidance or recommendation to provide antibiotics as a prophylactic measure prior to dental procedures except for specific individuals with extenuating circumstances, where the determination and prescription is made by the patient’s surgeon or other treating physician. However, there are a myriad of other conditions that either patients, physicians, or dentists may think that antibiotic prophylaxis prior to dental treatment might be warranted to prevent development of infections at remote locations by bacteria normally associated with the oral flora.

Is there a correlation between antibiotic prophylaxis and endocarditis?

In 2015, The Lancet published a study out of the United Kingdom that reported a correlation between institution of more limited antibiotic prophylaxis guidelines by the National Institute for Health and Clinical Evidence (NICE) in 2008 and an increase in cases of infective endocarditis. 13 Because of the retrospective and observational nature of the study, the authors acknowledged that their “data do not establish a causal association.” At this time, the ADA recommends that dentists continue to use the AHA/ACC guidelines discussed above. Dental professionals should periodically visit the ADA website for updates on this issue.

Do you have to premedicate for antibiotic prophylaxis?

Sometimes, patients forget to premedicate before their appointments. The recommendation is that for patients with an indication for antibiotic prophylaxis, the antibiotic be given before the procedure. This is important because it allows the antibiotic to reach adequate blood levels. However, the guidelines to prevent infective endocarditis 7, 8 state, “If the dosage of antibiotic is inadvertently not administered before the procedure, the dosage may be administered up to 2 hours after the procedure.” If a patient with an indication for prophylaxis who appropriately received antibiotic premedication prior to a dental procedure one day and who is then scheduled the following day for a dental procedure also warranting premedication (e.g., dental prophylaxis), the antibiotic prophylaxis regimen should be repeated prior to the second appointment. Because of the nature of the pharmacokinetics of an antibiotic prophylaxis regimen, a single loading dose is given in order to cover the period of potential bacteremia produced by a single procedure. 11-13

Can antibiotics be given to children?

Beyond identifying the specific patient population for whom antibiotic prophylaxis is appropriate, special consideration should be given to the antibiotic dose prescribed to children, as it will vary according to the child’s weight. Weight-based regimens for children are outlined in Table 2 of the 2007 American Heart Association guidelines and Table 5 of the 2021 AHA scientific statement. 7-9 As with any medication, check with the primary caregiver to determine whether the child has an allergy to antibiotics or other antibiotic-related concerns before prescribing.

Is antibiotic prophylaxis recommended for congenital heart disease?

b Except for the conditions listed above, antibiotic prophylaxis is no longer recommended for any other form of congenital heart disease.

How Long Do You Need to Take PEP?

If you are prescribed PEP, you will need to take the HIV medicines every day for 28 days.

When should you use PEP?

PEP should be used only in emergency situations. It is not meant for regular use by people who may be exposed to HIV frequently.

How Well Does PEP Work?

PEP is effective in preventing HIV infection when it’s taken correctly, but it’s not 100% effective. The sooner you start PEP after a possible HIV exposure, the better.

What to do if you are taking PEP?

If you are taking PEP, talk to your health care provider if you have any side effect that bothers you or that does not go away. PEP medicines may also interact with other medicines that a person is taking (called a drug interaction).

Can you use PEP for HIV?

No. PEP should be used only in emergency situations. It is not intended to replace regular use of other HIV prevention methods. If you feel that you might exposed to HIV frequently, talk to your health care professional about PrEP (pre-exposure prophylaxis).

Can You Get Help Paying for PEP?

If you’re prescribed PEP after a sexual assault —You may qualify for partial or total reimbursement for medicines and clinical care costs through the Office for Victims of Crime, funded by the U.S. Department of Justice (see the contact information for each state ).

Why do dentists do periodic oral evaluations?

In fact, the mouth is often considered a window to the rest of the body because many other illnesses first represent themselves as changes within the mouth. As a result, a periodic oral evaluation is performed each time you visit your dentist to serve as a benchmark of your overall health, and to see if anything has changed with your oral health ...

What is the purpose of periodic oral exam?

Since a periodic exam is built upon the foundation of a comprehensive oral evaluation ( Comprehensive Oral Evaluation Procedure Code ), your doctor will be looking for any changes since your last comprehensive exam to catch any early signs of serious illness that may be otherwise undetected. Some illnesses which can be detected during such evaluations are:

What is periodic dental evaluation?

Some illnesses which can be detected during such evaluations are: A periodic dental oral evaluation is a valuable part of your preventative health maintenance plan, and your dentist is a great ally in keeping an eye out for illness you may not know you even possess.

What is the procedure code for tooth loss?

To forestall the excessive development of plaque that can result in gum and tooth loss, routine prophylaxis ( Adult Prophylaxis Procedure Code and Child Prophylaxis Dental Procedure Code) is recommended for all individuals.

Why is dental prophylaxis required?

Although your home dental care regime might be effective, there are many dental problems that are hard to spot or even prevent at home. Many dental issues do not cause pain or show any obvious signs. During your dental prophylaxis appointment, we can diagnose these problems with a thorough examination. We can look for decay and cavities and provide treatments that will help you avoid painful, costly restorations down the road. We will also remove the build-up of tartar and plaque that can lead to decay and gum disease.

What is the first stage of periodontal disease?

Inflamed gums or “gingivitis” is the first stage of periodontal disease. If left to develop, it becomes a more serious condition called periodontitis. When plaque is not removed, it turns into a harder substance called tartar. This is even harder to remove than plaque and leads to cavities. When tartar and calculus form above and below ...

Why do people need antibiotics?

Some patients need antibiotic prophylaxis to help prevent infection. This can include people with heart conditions, such as prosthetic cardiac valves or those with prosthetic joints. Without antibiotics, prophylaxis can cause infective endocarditis in those with some heart conditions.

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