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Antibiotic Prophylaxis for Dental Patients at Risk for Infection (preview)

The American Dental Association (ADA) and the AmericanAcademy of Pediatric Dentistry (AAPD) recognize that numerous medical conditions predispose patients to bacteremia-induced infections.  Because it is not possible to predict when a susceptible patient will develop an infection, prophylactic antibiotics are recommended when these patients undergo procedures most likely to produce a bacteremia.

- Background information
- Patients with high risk cardiac conditions
- Patients with compromised immunity
- Patients with high risk shunts and indwelling catheters
- Patients with high risk medical devices

This lecture is intended to help practitioners to make appropriate decisions regarding antibiotic prophylaxis for dental patients at risk. The practitioners will learn:
- Rationale for the recent changes in the American Heart Association (AHA) Guidelines (spring, 2007)
- Cardiac conditions associated with the highest risk for endocarditis
- Immune-compromised patients with the highest risk for endocarditis
- Dental procedures for which endocarditis prophylaxis is reasonable
- Antibiotic regimens for high risk dental procedure


JEFFREY C. MABRY, D.D.S., M.S., obtain his dental degree from the University of Oklahoma College of Dentistry in 1980. Dr. (Col Mabry) retired from the USAF in October, 2006. During his last USAF tour, he served as the Chairman, Pediatric Dentistry, 59th Dental Squadron, 59th Aeromedical Dental Group, Lackland AFB, TX. He was also serving as the Chief Military Consultant to the USAF Surgeon General for Pediatric Dentistry.

Col Mabry transferred to the USAF from the US Public Health Service (USPHS) in September, 1989. He served three tours with the Indian Health Service Branch of the USPHS: Mescalero Indian Hospital, NM; Anadarko Indian Health Clinic, OK; and Claremore Indian Hospital, OK.

Dr. Mabry currently serves as an Associate Professor at the UTHSCSA Department of Developmental Dentistry. He is the Director of the Dental Center For Children at Christus Santa Rosa Children's Hospital. He currently serves as President of the College of Diplomates for the American Board of Pediatric Dentistry (2009-2010). He also serves as a Board Examiner (Oral section; 2006-present) and is on the Oral Board Committee for the American Board of Pediatric Dentistry (2009-present).

Last reviewed on: 09/01/2014 | Expire date: 08/31/2019