Antibiotic Premedicationfor Dental Treatments

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A

Air abrasion - is a drill-less technique that is being used by some dentists to remove tooth decay and for other applications
Amalgam - Material made from mercury and other alloy mixtures used to restore a drilled portion of a tooth. 
Anesthesia - Medications used to relieve pain.
Anterior teeth - Front teeth. Also called incisors and cuspids.
Arch - The upper or lower jaw.

B
Baby bottle tooth decay - Caused by sugary substances in breast milk and some juices, which combine with saliva to form pools inside the baby's mouth.
Bicuspids -Back teeth used for chewing.
Bitewings - X-rays that help a dentist diagnose cavities.
Bonding - Application of tooth-colored resin materials to the surface of the teeth.
Bridge - A fixed or removable appliance that replaces lost teeth.
Bruxism - Teeth grinding.

C
CAD/CAM dentistry, (Computer-Aided Design and Computer-Aided Manufacturing in dentistry), is an area of dentistry utilizing CAD/CAM technologies to produce different types of dental restorations, including crowns, crownlays, veneers,  inlays and onlays, fixed bridges, dental implant restorations and orthodontic appliances.
Calculus (tartar)-  Calculus is hardened plaque (a sticky substance) that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments.
Canal - The narrow chamber inside the tooth's root.
Canines - Also called cuspids.
Canker sore - One that occurs on the delicate tissues inside your mouth. A canker sore is usually light-colored at its base and can have a red exterior border. 
Caries - Another term for decay, which causes cavities.
Cold sore - Usually occurs on the outside of the mouth, usually on or near the nose or lips. A cold sore is contagious because it is caused by the herpes simplex virus, and it is usually painful and filled with fluid. 
Composite filling - Tooth colored restorations, also known as resin fillings. 
Composite resin - A tooth colored resin combined with silica or porcelain and used as a restoration material.
Contouring - The process of reshaping teeth.
Crown - An artificial cover that is placed on the top of a tooth following restoration.
Cusps - The pointed parts on top of the back teeth's chewing surface.
Cuspids - Front teeth that typically have a protruding edge.

D
Dentin - The tooth layer underneath the enamel.
Denture - A removable set of teeth.

E
Endodontics - A form of dentistry that addresses problems affecting the tooth's root or nerve.

F
Fluoride - A naturally occurring substance added to water, toothpastes and some rinses and used for strengthening the tooth's enamel.
Fluorosis - A harmless over-exposure to fluoride and resulting sometimes in tooth discoloration.

G
Gingiva - Another word for gum tissue.
Gingivitis - A minor disease of the gums caused by plaque.
Gum disease - An infection of the gum tissues. Also called periodontal disease.

I
Impacted teeth - A condition in which a tooth fails to erupt or only partially erupts.
Implant - A permanent appliance used to replace a missing tooth.
Incisor - Front teeth with cutting edges; located in the center or on the sides near the front.
Inlay - An indirect artificial filling made of various materials, including porcelain, resin, or gold.  fitted to a cavity in a tooth and cemented into place.
Intracoronal - situated or made within the crown of a tooth

L
Laminate veneer - A shell that is bonded to the enamel of a front tooth. The shell is usually thin and made from porcelain resin.

M
Malocclusion - Bad bite relationship
Mandible - The lower jaw
Maxilla - The upper jaw
Molar - Usually the largest teeth, near the rear of the mouth. Molars have large chewing surfaces

N
Nightguard - Night mouth guards are bite pads that are worn at night as you sleep. There are also used as mouth guards for day use. These guards are made of high-grade plastic and are custom fit to the mouth. This device keeps the upper teeth from grinding with the lower teeth, offering an instant solution to teeth clenching problems.
Neuromuscular Dentistry - Are more than the aches and pains felt in and around the neck and head that are associated with your teeth and jaw.

O
Onlay - An indirect artificial filling made of various materials, including porcelain, resin, or gold;  fitted to a cavity in a tooth and cemented into place. It is designed to protect the chewing surface of a tooth by extending to replace a cusp.
Orthodontics - A field of dentistry that deals with tooth and jaw alignment.
Overdenture - A non-fixed dental appliance applied to a small number of natural teeth or implants.

P
Palate - Roof of the mouth.
Partial denture - A removable appliance that replaces teeth. Also called a bridge. 
Pedodontics - A field of dentistry that deals with children's teeth.
Perio pocket - An opening formed by receding gums.
Periodontal disease - Infection of the gum tissues. Also called gum disease.
Periodontist - A dentist who treats diseases of the gums.
Permanent teeth - The teeth that erupt after primary teeth. Also called adult teeth.
Plaque -Plaque is a sticky, colorless, almost invisible film or substance that forms on the teeth after sleep or periods between brushing. It is a growing colony of living bacteria, food debris, and saliva. 
Posterior teeth - The bicuspids and molars. Also called the back teeth.
Primary teeth - A person's first set of teeth. Also called baby teeth or temporary teeth.
Prophylaxis - The act of cleaning the teeth.
Prosthodontics - The field of dentistry that deals with artificial dental appliances.
Pulp - The inner tissues of the tooth containing blood, nerves and connective tissue.

R
Radiographs - Diagnostic X-rays essential for detection of decay, tumors, cysts, and bone loss.  X-rays also help determine tooth and root positions.
Receding gum - A condition in which the gums separate from the tooth, allowing bacteria and other substances to attack the tooth's enamel and surrounding bone.
Resin filling - An artificial filling used to restore teeth. Also called a composite filling.
Root canal - A procedure in which a tooth's nerve is removed and an inner canal cleansed and later filled.
Root planing - Scraping or cleansing of teeth to remove heavy buildup of tartar below the gum line.

S
Sealant - A synthetic material placed on the tooth's surface that protects the enamel and chewing surfaces.

T
Tartar - A hardened substance (also called calculus) that sticks to the tooth's surface.
Tooth decay –   Tooth decay occurs when the acids found in plaque erode the natural enamel found on the teeth.  This phenomenon can easily be prevented by using proper home hygiene methods. Tooth decay is one of the leading causes of tooth loss, and its treatment often requires complex dental procedures.Teeth polishing: Removal of  stain and plaque that is not otherwise removed during tooth brushing and scaling.
TMD - Temporomandibular joint disorder. Health problems related to the jaw joint just in front of the ear.

V
Veneer - A laminate applied or bonded to the tooth.

W
Whitening - A process that employs special bleaching agents for restoring the color of teeth.
Wisdom tooth - Third set of molars that erupt last in adolescence.
 

Antibiotic premedication for dental treatments.Antibiotics are widely prescribed to control bacterial infections. Sometimes they are given before a medical or dental procedure, to prevent a possible infection from occurring; this practice is called "antibiotic prophylaxis." In the recent past, physicians and dentists advised that people with certain medical conditions - including a number of heart problems and several types of bone or joint replacements - should always take antibiotics before many routine dental procedures. Today, their advice may be different.

A growing body of evidence now indicates that far fewer patients need to take this preventive step than was previously thought. As a result, the guidelines for prescribing antibiotic prophylaxis have recently changed - and they may do so again in the future. Why are the recommendations changing - and what do you need to know about taking antibiotics before coming to the dental office?

The Risk of Infection

We all know that bacteria - both helpful and harmful types - thrive in many parts of the body, including the mouth. Whenever circumstances make it possible for these microorganisms to enter the bloodstream, there's a slight risk that a bacterial infection may develop. This could occur in many dental procedures - and it could also occur during routine activities like chewing, brushing and flossing. In most cases, the risk is so small that the chance of a having bad reaction to antibiotics (while rare) is far greater than the chance of developing an infection; therefore, antibiotics aren't routinely used.

Some people, however, need to take extra precautions before having dental procedures. If you have been treated for some types of heart disease, or have had certain orthopedic procedures (including total joint replacement), we may advise taking antibiotics to protect against even a remote chance of infection. Recommendations are made on an individual basis, taking into account your medical history and a clinician's healthcare experience.

Guidelines for Antibiotic Premedication

Prophylactic antibiotics might be recommended before dental procedures if you have one or more of the following heart conditions:

  • A heart transplant
  • Artificial heart valves
  • A history of infective endocarditis
  • Some types of congenital heart problems - particularly if they haven't been completely repaired, or if their treatment involves prosthetic material

If you have undergone a joint replacement procedure, prophylactic antibiotics might be recommended if you also have one or more of the following risk factors:

  • A systemic inflammatory disease such as rheumatoid arthritis or lupus erythematosis
  • A weakened immune system resulting from HIV, cancer, radiation or chemotherapy, or another cause
  • Insulin-dependent (type I) diabetes or hemophilia
  • A history of previous infection in a prosthetic joint
  • Undernourishment or malnourishment

There are other circumstances where taking prophylactic antibiotics would be a prudent step; there are also a number of situations where these medications might have been recommended in the past, but aren't currently required in all cases. For example, the presence of a benign heart murmur, a pacemaker or defibrillator, and certain heart diseases or congenital defects don't automatically mean that antibiotic prophylaxis will be needed.

In recent years, reports of drug-resistant bacteria and harmful side effects from some medications have increased public awareness of the consequences of overusing antibiotics. Fortunately, new scientific research is helping healthcare professionals make better, evidence-based treatment decisions on antibiotic use. If you have questions about whether you should take antibiotics before dental procedure, don't hesitate to ask.

Related Articles

Premedication - Dear Doctor Magazine

Premedication for Dental Treatment If you have had a total joint replacement in the past, you may be advised to take antibiotics before have dental work. That's because certain preexisting health conditions may make you more susceptible to infection during a dental procedure. Find out what the risk factors are... Read Article