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Changing Pre-Treatment Antibiotic Rules Marietta, GA

Changing Pre-Treatment Antibiotic Rules

If you suffer from mitral valve prolapse or had a knee replacement, you were probably asked to take antibiotics prior to your dental procedure if it was more than two years ago. However, the guidelines for taking a precautionary antibiotic before a trip to the dentist has recently changed. It is no longer necessary for most people and it may actually do more harm than good.

The American Heart Association now recommends that only those who are at the highest risk of bad outcomes from infective endocarditis (IE) should take antibiotics prior to their dental procedure. This condition is an infection of the heart’s inner lining or the heart valves caused by bacteria entering into the bloodstream and traveling to the heart. Scientists found no significant evidence that taking antibiotics prior to a dental procedure prevented IE in patients who are at risk of developing a heart infection, as their hearts already are exposed to bacteria from the mouth. Basic daily activities such as brushing or flossing are perhaps more likely to cause bacteria to become dislodged and enter the bloodstream, which could cause infection.

In the past, the list for short-term preventative antibiotic treatment requirements included joint replacement, mitral valve prolapse, rheumatic heart disease, bicuspid valve disease and calcified aortic stenosis. Why did the guidelines change? Put simply, the risks outweigh the benefits. Continued scientific research and evidence shows that risks such as adverse reactions to antibiotics and the development of drug-resistant bacteria puts patients at a greater risk than benefit from taking preventative antibiotics.

If you have a heart problem and have an upcoming dental appointment, it is always best to tell your dentist about the specifics of your condition. Patients who have had a heart transplant or have an artificial heart valve may still need to take antibiotics. Dr. Paul Gilreath stays informed on the latest AHA guidelines surrounding pre-antibiotic treatments and he can advise you on the safest, most beneficial steps to take.

Posted on behalf of Dr. Paul Gilreath IV, Gilreath Family Dentistry

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Our Client Reviews
Gilreath Family Dentistry

5.0 / 5.0

Based on 307 reviews


Dr. Gilreath is incredible with my kids. They love going to the dentist now! And this busy mom loves the warm neck wraps, the soft music and enjoying a latte while I relax!

Kenneth H.

Was lucky enough to find these guys when I got insurance that my old dentist did not take. Very professional and friendly staff! Office has the latest greatest technology as well. If you're looking for a new dentist, search no further!

Susie L.

Very personable and friendly, they took the time to go over my complex dental history and did not pressure me into anything. They gave their recommendations and priced out any options I had. Great group!

Camille Y.

Dr. Gilreath and his staff are top notch. I received the best cleaning I've ever had while watching my favorite show. The Doctor and his staff were all very polite, friendly, and courteous. They explained everything to me clearly and presented me with options in a gentle way that didn't make me feel pressured at all. It's obvious they really care about the wellbeing of their patients. The facility and equipment is really nice as well. I will definitely be back!

Juan R.

Always willing to work around my kids and my schedules. Today I had a long appointment. They started on time and always made sure I was comfortable and that the pain was managed so the procedure could’ve been completed without issues. Very courteous and professional staff.

Lucia B.

Awesome dental practice! The staff is friendly and efficient. Dr. Gilreath is thorough and versed in the latest technology and procedures. I love that he can make crowns in the office while you wait (so no walking around with a temporary crown for days or weeks). I would strongly recommend this dental practice!

Matthew W.

I've been going here for about a little over a year now. I've had a few cleanings, a filling, and started Invisiline so far. Hands down, the best run dental office I've ever been to. In the past at other dental offices I often had to wait 30 or more minutes beyond my appointment time before being seen. At Dr. Gilreath's office I've been seen on time every time. They seem to have systems in place to make every part of your visit run smoothly. From how they took x-rays, to billing and appointments, to the work done by the hygienist/dentist, everything seems to run like a well oiled machine. On top of that all the staff are all friendly, helpful and knowledgeable. The office space itself is also quite nice. Very clean, well maintained, and seems very "up to date" with their equipment. If you're looking for a dentist and are anywhere in the northwest metro area I would highly recommend Dr. Gilreath.

Jhion R.

The staff is always so courteous and personable. They make us feel like family every time we have an appointment. Service is excellent, too. My wife recently went for a cleaning and Dr. Gilreath noticed a chip in one of her fillings. He knew we recently had another baby and that her time was very limited so he went ahead and did the filling right then and there, an extra thirty minutes tops. Dr. Gilreath is always looking at the big picture and really knows his stuff. We will never go anywhere else

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Gilreath Family Dentistry

200 White St NW
Marietta, GA 30060

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