COVID-19 UPDATE

 

To our patients, friends and family:

My highest priority continues to be the health and well-being of Newtown Dental Arts patients and team members. As a result of the evolving impact of the COVID-19 (novel coronavirus) national and state emergency declarations, and in compliance with the requests made by State and Federal Administrations, I will be restricting the dental care provided to patients to *only* emergency care, for the next two weeks.

This decision was not made lightly. After considering advice from fellow healthcare professionals, the American Dental Association and the Center for Disease Control, our team believes that we are acting in the best interest of our close-knit community. We must all do our part to “flatten the curve” and mitigate the risk of person-to-person contact, by staying home.

During this time, I will be available for patients who experience a true dental emergency. Please call our office at 215-860-4141 and listen to the prompts to be connected to the emergency paging system.

If your upcoming appointment has been cancelled, you will receive direct communication from our Patient Care Team, via text, email and/or phone call. For non-emergent requests, you may leave a message in our general office voicemail, which will be checked at least once each day. You may also email us at patientcare@newtowndentalarts.com.

We appreciate your patience and understanding during these unprecedented, challenging times. As this is a fluid situation, we continue to monitor the advice of our government, the ADA and CDC and will continue to send updates as necessary.

We hope you will join us in staying home and staying healthy.

Very sincerely,

Dr. Renée Feldsher

 

 

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Antibiotic premedication for dental treatments.Antibiotics are widely prescribed to control bacterial infections. Sometimes they are given before a medical or dental procedure, to prevent a possible infection from occurring; this practice is called "antibiotic prophylaxis." In the recent past, physicians and dentists advised that people with certain medical conditions - including a number of heart problems and several types of bone or joint replacements - should always take antibiotics before many routine dental procedures. Today, their advice may be different.

A growing body of evidence now indicates that far fewer patients need to take this preventive step than was previously thought. As a result, the guidelines for prescribing antibiotic prophylaxis have recently changed - and they may do so again in the future. Why are the recommendations changing - and what do you need to know about taking antibiotics before coming to the dental office?

The Risk of Infection

We all know that bacteria - both helpful and harmful types - thrive in many parts of the body, including the mouth. Whenever circumstances make it possible for these microorganisms to enter the bloodstream, there's a slight risk that a bacterial infection may develop. This could occur in many dental procedures - and it could also occur during routine activities like chewing, brushing and flossing. In most cases, the risk is so small that the chance of a having bad reaction to antibiotics (while rare) is far greater than the chance of developing an infection; therefore, antibiotics aren't routinely used.

Some people, however, need to take extra precautions before having dental procedures. If you have been treated for some types of heart disease, or have had certain orthopedic procedures (including total joint replacement), we may advise taking antibiotics to protect against even a remote chance of infection. Recommendations are made on an individual basis, taking into account your medical history and a clinician's healthcare experience.

Guidelines for Antibiotic Premedication

Prophylactic antibiotics might be recommended before dental procedures if you have one or more of the following heart conditions:

  • A heart transplant
  • Artificial heart valves
  • A history of infective endocarditis
  • Some types of congenital heart problems - particularly if they haven't been completely repaired, or if their treatment involves prosthetic material

If you have undergone a joint replacement procedure, prophylactic antibiotics might be recommended if you also have one or more of the following risk factors:

  • A systemic inflammatory disease such as rheumatoid arthritis or lupus erythematosis
  • A weakened immune system resulting from HIV, cancer, radiation or chemotherapy, or another cause
  • Insulin-dependent (type I) diabetes or hemophilia
  • A history of previous infection in a prosthetic joint
  • Undernourishment or malnourishment

There are other circumstances where taking prophylactic antibiotics would be a prudent step; there are also a number of situations where these medications might have been recommended in the past, but aren't currently required in all cases. For example, the presence of a benign heart murmur, a pacemaker or defibrillator, and certain heart diseases or congenital defects don't automatically mean that antibiotic prophylaxis will be needed.

In recent years, reports of drug-resistant bacteria and harmful side effects from some medications have increased public awareness of the consequences of overusing antibiotics. Fortunately, new scientific research is helping healthcare professionals make better, evidence-based treatment decisions on antibiotic use. If you have questions about whether you should take antibiotics before dental procedure, don't hesitate to ask.

Related Articles

Premedication - Dear Doctor Magazine

Premedication for Dental Treatment If you have had a total joint replacement in the past, you may be advised to take antibiotics before have dental work. That's because certain preexisting health conditions may make you more susceptible to infection during a dental procedure. Find out what the risk factors are... Read Article