Endocarditis Prophylaxis

Prophylaxis is directed against viridans-group streptococci

Procedures for which dental prophylaxis should be given to appropriate candidates include any procedures that involve manipulation of gingival tissue or the periapical region of the teeth or perforation of the oral mucosa.

Procedures that do not require prophylaxis include:

•  Routine anesthetic injections through noninfected tissues

•  Dental radiographs

•  Placement of removable prosthodontic or orthodontic appliances

•  Adjustment of orthodontic appliances

•  Placement of orthodontic brackets

Prophylaxis is also not necessary after the shedding of deciduous teeth or for bleeding from trauma to the lips or oral mucosa.