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Gum disease and antibiotics

Do I need to premedicate for Root deep cleaning due to gum disease?? Was diagnosed aged 20 with mitral valve prolapse and mild regurgitation..25 years later most echos show no sign of regurgitation though..Can I take amoxicillin afterwards??
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Avatar universal
Antibiotic prophylaxis is no longer indicated in patients with mitral valve prolapse for prevention of infective endocarditis. The risk of antibiotic-associated adverse effects exceeds the benefit (if any) from prophylactic antibiotic therapy.

Source: https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=257

For infective endocarditis prophylaxis, current guidelines support premedication for only a relatively small subset of patients: history of prosthetic heart valve or past valve repair with prosthetic materials; prior infective endocarditis; unrepaired cyanotic congenital heart disease, including palliative shunts and conduits; repaired congenital heart defect with residual shunts or valvular regurgitation at the site of or adjacent to the site of a prosthetic patch or a prosthetic device.

Source: https://www.ada.org/en/member-center/oral-health-topics/antibiotic-prophylaxis
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