Antibiotics Prior to Dental Work? Maybe Not.
In recent years, recommendations regarding the use of preventive antibiotics before dental procedures have changed significantly.
According to guidance summarized by Consumer Reports, updated clinical guidelines now recommend antibiotic premedication for far fewer patients than in the past. Current recommendations reserve antibiotics primarily for individuals with specific, high-risk medical conditions — such as certain artificial heart valves, a prior history of infective endocarditis, or select serious congenital heart conditions.
For the vast majority of patients, preventive antibiotics before routine dental care are no longer indicated.
Why the Guidelines Changed
The shift reflects a growing understanding of:
the risks associated with unnecessary antibiotic use
antibiotic resistance
the lack of evidence supporting routine premedication for most patients
Modern dentistry places a strong emphasis on evidence-based care — using antibiotics only when the benefits clearly outweigh the risks.
How Recommendations Are Determined
Antibiotic guidelines used in dental care are based on consensus statements and ongoing research from organizations including the American Dental Association, the American Heart Association, and the American Academy of Orthopaedic Surgeons.
These guidelines are reviewed and updated as new evidence becomes available.
An Individualized, Medically Informed Approach
While guidelines provide an important framework, they do not replace individualized medical decision-making.
Dental recommendations in this practice are always made with consideration of:
current clinical guidelines
your medical history
recommendations from your physician or specialist
When there is uncertainty, or when a patient’s medical history is complex, coordination with the treating physician is essential. Physician guidance is never overridden.
Questions About Antibiotics?
If you are unsure whether antibiotic premedication is appropriate before your dental appointment, we encourage you to ask. These decisions are best addressed before treatment, with time for proper review and, when needed, communication with your medical team.
Reviewed and updated January 2026