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Ditulis Oleh : STIKES
Judul : Dental Management of Patients With Moderate Risk Conditions

Dental Management of Patients With Moderate Risk Conditions

Medically compromised patients with moderate risk conditions include:

Patients with other uncorrected congenital cardiac malformations.
Patients with acquierd valvular dysfunction.
Patients with hypertrophic cardiomyopathy.
Patients with mitral valve prolapse with regurgitation.

Potential problems related to dental care:

Patients with these conditions are at moderate risk for bacterial endocarditis, secondary to dental treatment resulting in significant bleeding.
Patients with surgically repaired congenital defects without residual dysfunction do not require antibiotic prophylaxis.
Patients with a history of rheumatic fever but without evidence of rheumatic heart disease do not require antibiotic prophylaxis.
Patients with mitral valve prolapse without regurgitation do not require antibiotic prophylaxis.

Oral manifestation:
Ussually none

Prevention of problems:
Patients with moderate risk condition should receive prophylactic antibiotics before dental procedures likely to result in significant bleeding.

Treatment planning modifications:

Patients any of these conditions can receive any indicated dental care provided that prophylactic antibiotics are administered before those procedures likely to result in significant bleeding.
Dental treatment should be performed in each session during the 1-3 hours after administration of the antibiotics.
A second antibiotic dose may be indicated if the appoinment lasts more than 4-6 hours or if the multiple appointments occur on the same day.
Allow at least 9 days between treatment sessions so that penicillin-resistant organisms disappear from the oral flora. If treatment becomes necessary sooner than 9 days, select one of the alternative antibiotics for prophylaxis.

Source: Dental Management of the Medically Compromised Patient 6th Ed. (Little, J.W.; et al.)

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