Question 583 · LDEK · Anesthesia and pharmacology in conservative dentistry
A 63-year-old patient with an artificial hip joint presents for root canal treatment of tooth 36. He has a history of infective endocarditis. In this situation it is recommended to:
- A. start root canal treatment without prophylactic antibiotic therapy.
- B. start root canal treatment with prophylactic antibiotic therapy - amoxicillin 2000 mg administered 30-60 minutes prior to treatment.
- C. start root canal treatment and instruct the patient to use amoxicillin and clavulanic acid 1000 mg 1 day prior to treatment and continue antibiotic therapy for 6 days following the procedure.
- D. perform tooth extraction.
- E. delay root canal treatment to first obtain an antibiogram and start targeted prophylactic antibiotic therapy.
Hint
Decide which of the two conditions is a high-risk indication under ESC endocarditis guidelines and recall the standard single oral dose.
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