| Endocarditis Prophylaxis Recommended | Endocarditis Prophylaxis Not Recommended |
Periodontal procedures including surgery, scaling and root planing, probing, and recall maintenance Dental implant placement and reimplantation of avulsed teeth Endodontic (root canal) instrumentation or surgery only beyond the apex Subgingival placement of antibiotic fibers or strips Initial placement of orthodontic bands but not brackets Intraligamentary local anesthetic injections Prophylactic cleaning of teeth or implants where bleeding is anticipated Respiratory tract Tonsillectomy and/or adenoidectomy Surgical operations that involve respiratory mucosa Bronchoscopy with a rigid bronchoscope Gastrointestinal tract Sclerotherapy for esophageal varices Esophageal stricture dilation Endoscopic retrograde cholangiography with biliary obstruction Biliary tract surgery Surgical operations that inbolve intestinal mucosa Genitourinary tract Prostatic surgery Cystoscopy Urethral dilation |
Restorative
Dentistry (operative and prosthodontic) with or without
retraction cord Local anesthetic injections (nonintraligamentary) Intracanal endodontic treatment; post placement and buildup Placement of rubber dams Postoperative suture removal Placement of removable prosthodontic or orthodontic appliances Taking oral impressions Fluoride treatments Taking oral radiographs Orthodontic appliance adjustment Shedding of primary teeth Respiratory Tract Endotracheal intubation Bronchoscopy with a flexible bronchoscope, with or without a biopsy Tympanostomy tube insertion Gastrointestinal tract Trasesophageal echocardiography Endoscopy with or without gastointestinal biopsy Genitourinary tract Vaginal hysterectomy Vaginal delivery Cesarean section In unifected tissue: Urethral catheterization Uterine dilation and curettage Therapeutic abortion Sterilization procedures Insertion or removal of intrauterine devices Other 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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