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CDA Position Adjustment: Antibiotic prophylaxis to prevent infective endocarditis

CDA adjusts position on antibiotic prophlylaxis to prevent infective endocarditis

The CDA Position on the Prevention of Infective Endocarditis (approved in 2007 and reaffirmed in 2013 by the CDA Board of Directors) is aligned with the American Heart Association’s (AHA) 2007 guidelines for antibiotic prophylaxis prior to dental procedures to prevent infective endocarditis.

Recently the AHA published “Corrections” to the 2007 guidelines that clarified the language in the guideline. In particular, a change was made to the wording of the list of cardiac conditions associated with the highest risk of adverse outcome from endocarditis for which antibiotic prophlylaxis with dental procedures is reasonable. The cardiac condition “artificial heart valve” was replaced with “prosthetic cardiac valve or prosthetic material used for cardiac valve repair.”

CDA’s Committee on Clinical and Scientific Affairs (CCSA) contacted the AHA to get more information about the rationale for the change. Based on the answer received from AHA, the committee confirmed that the change was editorial in nature, however to ensure appropriate antibiotic prophylaxis for these dental patients, dentists should include cardiac valve repairs in their medical questionnaire if they have not already done so.

Click here for CDA Position on Prevention of Infective Endocarditis

Click here for Prevention of Infective Endocarditis: Guidelines from the American Heart Association



  1. Danny Rasmussen February 23, 2016

    I would like to know the position the CDA takes on the use of Antibiotics before dental cleanings/ tooth repair i.e. fillings or extractions for those patients that have had partial knee / total knee / hip replacements. The position the association takes and the dentists are two(2 ) different can of worms . Its seems that they are more concerned with loosing their licence to practice than that of the health of the patient!

    1. JCDA Oasis February 24, 2016

      Hello Danny,

      Please follow this link: http://www.cda-adc.ca/en/about/position_statements/jointreplacement/
      That’s CDA’s position statement on Dental Patients with Total Joint Replacement.

      Chiraz, CDA Oasis Team

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