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Dental and Oral Health (Seniors)

Prophylactic antibiotic cover

04/06/2004

Question:

If a person suffering from Rheumatoid Arthritis is to undergo periodontal prophylaxis, does he need to take prophylactic antibiotics prior to the procedure, even if he has no other signs of Rheumatic fever or history relating to those group of diseases? I have been told that Rh. Arthritis is closely related to the Rheumatic fever and other such diseases.

Answer:

The American Heart Association recommends that patients with prior history of Rheumatic Fever should receive prophylactic antibiotic one hour prior to the dental appointment. Rheumatoid Arthritis is a degenerative joint disorder, while Rheumatic fever is a disorder that affects the heart and that is why prophylactic antibiotic is indicated.

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Response by:

Abdel Rahim   Mohammad, DDS, MS, MPH, FAAOM, FACD Abdel Rahim Mohammad, DDS, MS, MPH, FAAOM, FACD
Clinical Professor of Geriatrics
College of Dentistry
The Ohio State University