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If that is not possible, such as is the case with some invasive medical procedures, including some types of dental work, then antibiotics may be recommended. There has been confusion, among doctors, dentists, and patients, about who should have antibiotics before having dental work. In the past, administration of antibiotics prior to dental work was only recommended during the first two years after surgery.
To prevent endocarditis, patients with certain heart conditions receive a single dose of an antibiotic. You receive it about one hour prior to certain dental treatments. The American Heart Association and American Dental Association now suggest that you receive antibiotics prior to dental treatment only if you have: 1  Had bacterial endocarditis before. 2  A prosthetic (artificial) cardiac valve or prosthetic material used in valve repair. 3  Cardiac valve disease and have had a cardiac transplant.