Infective endocarditis risk (highest-risk group)
Infective endocarditis (IE) is infection of the endocardial surface/valves. Dental procedures that manipulate gingiva/periapical tissues or perforate oral mucosa can cause transient bacteremia. Antibiotic prophylaxis is reserved for a small highest-risk group where IE outcomes are worst — it is not advised for most cardiac patients. US (AHA/ADA): prophylaxis for the highest-risk group listed below. UK (NICE CG64 / SDCEP): routine prophylaxis is not recommended for dental procedures, though it may be considered on an individualized basis for that same highest-risk group after discussion with the patient and cardiology. This module covers who qualifies, which procedures trigger it, current regimens, and what changed in 2021 (clindamycin removed; doxycycline added).
The full condition entry includes
- Safe vs avoid lists: antibiotics, analgesics, local anesthetics
- Vasoconstrictor limits and treatment modifications
- Pre/intra/post-op monitoring and deferral criteria
- Emergency management, explained for study
More medical conditions in dentistry
Dentalverse is an educational resource for dental students and dentists. This page is a study reference — it is not medical advice and does not replace clinical judgment. Always follow your institution's protocols and your supervisor's guidance.