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IE Prophylaxis Not Required — NDEB AFK MCQ

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EasyPharmacologyIE Prophylaxis Not RequiredNDEB AFK

Which of the following dental procedures does NOT require infective endocarditis prophylaxis in high-risk patients according to AHA 2021 guidelines?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Routine anaesthetic injection through non-infected tissue

AHA 2021 guidelines specifically state that routine anaesthetic injections through non-infected tissue do NOT require IE prophylaxis, even in high-risk patients. Other procedures NOT requiring prophylaxis include: taking dental radiographs, placement/adjustment of orthodontic appliances, shedding of primary teeth, bleeding from trauma to the lips or oral mucosa, and placement of removable prosthodontic appliances. Procedures that DO require prophylaxis involve manipulation of gingival tissue, periapical region, or perforation of the oral mucosa.

Reference: AHA – Prevention of Infective Endocarditis Guidelines, 2021