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Procedures Requiring Endocarditis Prophylaxis For Patients At Risk For Endocarditis
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American Heart Association Website
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PROPHYLAXIS RECOMMENDEDPROPHYLAXIS NOT RECOMMENDED
Dental extractionsRestorative dentistry (operative and prosthodontic) with or without retraction cord (unless significant bleeding)
Periodontal procedures including surgery, scaling and root planing, probing, and recall maintenanceOral local anesthetic injections (nonintraligamentary)
Dental implant placement and reimplantation of avulsed teethIntracanal endodontic treatment; post placement and buildup
Endodontic (root canal) instrumentation or surgery only beyond the apexPlacement of rubber dams (oral)
Subgingival placement of antibiotic fibers or stripsPostoperative oral suture removal
Initial placement of orthodontic bands but not bracketsPlacement of removable prosthodontic or orthodontic appliances
Intraligamentary local anesthetic injectionsTaking of oral impressions
Prophylactic cleaning of teeth or implants where bleeding is anticipatedFluoride treatments
Tonsillectomy and/or adenoidectomyTaking of oral radiographs
Surgical operations that involve respiratory mucosaOrthodontic appliance adjustment
Bronchoscopy with a rigid bronchoscopeShedding of primary teeth
Sclerotherapy for esophageal varicesEndotracheal intubation
Esophageal stricture dilationBronchoscopy with a flexible bronchoscope, with or without biopsy
Endoscopic retrograde cholangiography with biliary obstructionTympanostomy tube insertion
Biliary tract surgeryTransesophageal echocardiography
Surgical operations that involve intestinal mucosaEndoscopy with or without gastrointestinal biopsy
Prostatic surgeryVaginal hysterectomy
CystoscopyVaginal delivery
Urethral dilationCaesarean section
if uninfected: Urethral catheterization
if uninfected: Uterine dilatation and curettage
if uninfected: Therapeutic abortion
if uninfected: Sterilization procedures
if uninfected: Insertion or removal of intrauterine devices
Cardiac catheterization, including balloon angioplasty
Implanted cardiac pacemakers,implanted defibrillators, and coronary stents
Incision or biopsy of surgically scrubbed skin
Circumcision

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