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Originally Posted by DocL
How many deaths have been contributed to sub-acute endocarditis related to dental procedures?
Also, most oral bacteremia is caused by brushing and flossing teeth compared to routine dental procedures. So that being identified, why are we not worried about the risk of endocarditis at home.
In 2008, dentists were advised that pre-medication wasn't needed like we thought. Dentists used to over prescribe antibiotics for even the slightest murmur. Now it's pre-med for valve repair/replacement, and joint replacement for three years post-op. I'd still like to see the data on deaths related to dental procedures and endocarditis.
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Prescribing practices of a majority of the dentists on pre-meds has not changed. A search showed incidence rates of 4.6/100000y with a significant linear incidence increase in 2017. Death rate was 1.2/1000 and in an increasing trend. Those caused by dental procedure would be very low.