What are systemic conditions that require antibiotics before, during and after the high-risk dental procedures?
• Heart or vascular (replaced artery) surgery within the past six months. • Pacemaker. • Artificial heart valve. • History of rheumatic fever. • History of heart murmur (mitral valve pro-lapse). • Previous bacterial endocarditis. • Systemic pulmonary shunt. • Congenital heart defect. • Acquired valvular dysfunction. Diseases cause immune-suppression • Rheumatoid arthritis, systemic lupus. • Radiation treatment. • Malnourishment. • Hemophilia. • HIV infections. • Insulin dependent (Type 1) diabetes.