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Up until recently the American Dental Association recommended prophylactic antibiotics one hour prior to any dental work includiing cleaning. The concern is for the possibility of bacterial endocarditis. At my last cleaning, my dentist informed me that the ADA changed those guidelines this year. However, my rheumatologist prefers to continue prophylactic antibiotics (2 g amoxicillin). I have SLE with nephritis. I take Cellcept to manage it, which is the same drug transplant patients take to prevent rejection of the transplanted organ.

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Q: What is the recommended usual normal Dental treatment of a patient with lupus history of stroke and kidney replacement?
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