Definition of Invasive Dental Procedures
Antibiotic prophylaxis (ABP) should only be provided for invasive dental procedures, following a patient’s risk assessment and decision. Invasive procedures are those involving manipulation of the dento-gingival junction, the periapical region, or perforation of the oral mucosa.
Local anaesthetic injections in non-infected soft tissues are excluded.
Invasive Dental Procedures
- Placement of matrix bands.
- Placement of sub-gingival rubber dam clamps.
- Sub-gingival restorations including fixed prosthodontics.
- Endodontic treatment before apical stop has been established.
- Preformed metal crowns (PMC/SSCs).
- Full periodontal examinations (including pocket charting in diseased tissues).
- Root surface instrumentation/sub-gingival scaling.
- Incision and drainage of abscess.
- Dental extractions.
- Surgery involving elevation of a muco-periosteal flap or muco-gingival area.
- Placement of dental implants, including temporary anchorage devices and mini-implants.
- Uncovering implant sub-structures.
Non-invasive Dental Procedures
- Infiltration or block local anaesthetic injections in non-infected soft tissues.
- BPE screening.
- Supra-gingival scale and polish.
- Supra-gingival restorations.
- Supra-gingival orthodontic bands and separators.
- Removal of sutures.
- Radiographs.
- Placement or adjustment of orthodontic or removable prosthodontic appliances.
Note: ABP is not recommended following the exfoliation of primary teeth or trauma to the lips or oral mucosa.
Clinical judgement should be applied for procedures not explicitly listed.