AMERICAN HEART ASSOCIATION SIMPLIFIES PROPHYLACTIC USE WITH NEW GUIDELINES

On April 19, 2007, the American Heart Association (AMA) updated its online guidelines regarding infectious endocarditis related to patients who should or should not take antibiotics (pre-med) before dental/oral procedures. Major changes have been made and now there are only a few situations in which prophylactic antibiotics are suggested. The guidelines were developed by a group appointed by the AHA that included experts in infectious disease and cardiology members representing the American Dental Association (ADA).

Antibiotics are still recommended in a few situations but the evidence shows that patients have been over treated with the prophylactic antibiotics for several decades. Over prescribing of antibiotics can lead to resistance of the antibiotic in the immune system.

According to the AHA and the ADA, preventive antibiotics are no longer indicated for dental patients with:
• Mitral valve prolapse
• Rheumatic heart disease
• Bicuspid valve disease
• Calcified aortic stenosis
• Most congenital heart conditions

Prophylactic antibiotics are still recommended for:

*Artificial heart valves
*A history of infective endocarditis
*Certain specific serious congenital heart conditions
*A cardiac transplant that develops a problem in a heart valve

For more information on the guidelines or to read the report, go to www.ada.org.

On November 7, 2007 our Financial coordinator gave birth to a beautiful 7 lb 6oz. baby girl! Jeny was truly missed by our patients and staff—it sure is nice to have her back! Don’t be surprised if Jeny is showing off her precious little girl as you walk in to the office.

Lynne, Our Lovely Hygienist, is celebrating her 25th wedding anniversary to a wonderful man! Hence, this June, they are headed to Alaska. So Again, the pups and kitty will be home with the sitter – hee hee! Be sure to ask her, for pictures of her trip. Congratulations Mike and Lynne!

As you may recall, Greg (Donna Beth’s husband) injured his leg, November 2007—She would like to take this moment to express her gratitude for your prayers and support towards her family. He is doing well and they are working towards a “speedy” recovery. Austin and Sam are currently enjoying basketball season – Emma, was sad to see cheerleading come to an end…she is looking forward to next year.

Stephanie’s boys travel hockey team continue to enjoy much success this season, and are looking forward to the playoffs starting soon…..then on to Spring Hockey.

Surfs up!! Connie traveled with her family to Hawaii ,for their holiday vacation.She enjoyed kayaking,snorkling,hiking,biking,and lots and lots of sightseeing. Now we know the meaning of “needing a vacation from a vacation”.