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have the option and the money to repair their natural teeth they need to consider every choice they may have. Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient’s medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery. Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy , surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding. The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs. The goal of pre-medication or antibiotic prophylaxis, Dr. David Houpt will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium. At David C. Houpt, DMD, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow. While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring. Avoid tobacco and copious levels of alcohol. If you smoke, quit. And remember, heavy drinking dramatically increases the risk of developing mouth and throat cancer. If you have any concerns about sealants, please discuss them with during your child’s next appointment at David C. Houpt, DMD. We want

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