IE Prophylaxis for Implant Placement — NDEB AFK MCQ

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ModeratePharmacologyIE Prophylaxis for Implant PlacementNDEB AFK

A 55-year-old patient with a prosthetic heart valve is scheduled for implant placement. Which antibiotic prophylaxis is required?

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Correct answer: A — Amoxicillin 2 g PO 30-60 minutes before the procedure

Prosthetic heart valve is a high-risk condition requiring IE prophylaxis for dental procedures involving manipulation of gingival tissue, periapical regions, or oral mucosal perforation (AHA 2021). Implant placement involves surgical manipulation of the gingival tissue and perforation of the oral mucosa, qualifying it for prophylaxis. Standard regimen: amoxicillin 2 g PO 30-60 minutes before the procedure (single dose). For penicillin-allergic patients: clindamycin 600 mg or azithromycin 500 mg.

Reference: AHA – Prevention of Infective Endocarditis Guidelines, 2021