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Dental Work & Antibiotics
Sep 1, 2008

I am trying to figure out it an HIV patient with undetectable viral levels and a CD4 count of 636 Should take something Like Amoxicillin During Dental procedures? The Dentist Said they don't need to do that any longer. After having Some teeth worked on I have a Swollen throat and my Lymph Nodes in my neck are vary swollen. Dentist said it's not from the work he did but yet he knew my gums were infected before he did work. I think its from the dental Work Dentist says No. Should HIV patients take an antibiotic before work like this?

Response from Dr. McGowan

The use of antibiotics prior to dental work to prevent the occurrence of infective endocardits- an infection of the heart's inner lining or the heart valves- should only take place in certain limited circumstances including those individuals with: a)artificial heart valves b)a history of having had IE c)certain specific, serious congenital (present from birth) heart conditions, including: unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits, a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter interventions, during the first six months after the procedure, any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or prosthetic device d)a cardiac transplant which develops a problem in a heart valve.

Therefore, your dentist is correct in stating that having HIV is not in itself a reason to prescribe antibiotics prior to dental work.


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