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Antibiotic prophylaxis for dental procedures: an update
Tihana Divnic-Resnik1,2, Atieh Sadr1,2, Elvis Trinh1,2
1Sydney Dental School, Faculty of Medicine and Health, The University of Sydney.
None:
The Australian Therapeutic Guidelines: Oral and Dental and Antibiotic were updated in 2025 with revised indications for antibiotic prophylaxis for dental procedures and recommendations for prophylactic regimens. Most community-based patients undergoing minor oral surgeries do not require antibiotic prophylaxis, unless they are profoundly immunocompromised; in which case, antibiotic prophylaxis may be considered in consultation with the treating medical specialist or team. Antibiotics may also be considered following reinsertion of avulsed (knocked-out) teeth. Antibiotic prophylaxis is recommended for hospital-based patients undergoing specific oral and maxillofacial surgeries. It is also recommended for patients with high-risk cardiac conditions undergoing invasive dental procedures to prevent infective endocarditis.
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