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Premed

A patient of mine asked if she needs to premed before any dental procedure such as SRP if she has a history of a leaky valve when she was young. She said she hasn’t followed up with it for years now and was told that she doesn’t need to premed anymore. What is your take on this? Is premed required for her leaky valve?



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3 Answers

I would consult with her PCP and her previous Cardiologist and get authorization in writing as to whether the patient needs Premedication. This patient should see a cardiologist for testing since it has been so many years and has had previous issues with the heart.

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I agree with Hygenius, best to consult with the PCP or cardiologist. Even if it has been years its not best to risk having a problem with her heart. Better safe than sorry. I would explain to the pt that its in her best interest and health to consult with her PCP before proceeding with any dental tx.

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New information out is that premed is not even needed for joint replacement.

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