Antibiotic prophylaxis is not recommended in:

 # Antibiotic prophylaxis is not recommended in:

a) Making of impressions 

b) Dental extraction

c) Replantation of tooth 

d) Gingivectomy

The correct answer is A. Making of impressions.

All dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa need antibiotic prophylaxis to prevent Bacterial endocarditis. Procedures such as anesthetic injections through non infected areas, taking dental radiographs, placement of removable prosthodontic/orthodontic appliances, adjustment of ortho appliances, placement of brackets, shedding of deciduous teeth, bleeding from trauma to lips or oral mucosa do not need antibiotic prophylaxis.

Cardiac conditions requiring prophylaxis include prosthetic cardiac valve, previous infective endocarditis, congenital heart disease, cardiac transplantation recipients who develop cardiac valvulopathy. They may be given oral Amoxicillin 2 gm/ Azithromycin SOOmg/ Cephalexin 2gm/ Clindamycin 600mg (OR) Ampicillin 2 gm IM or IV/ Cefazolin or Ceftriaxone 1 gm IM or IV/ Clindamycin phosphate 600mg IM or IV.

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