Dentoalveolar Surgery (tooth extraction, cystectomies, alveoplasty, apical surgery)

Simple/minimally invasive oral surgical procedures

ADULT DOSE/ROUTE/DURATION PAEDIATRIC DOSE/ROUTE/DURATION
  • NO surgical prophylaxis indicated
  • NO surgical prophylaxis indicated

Alveolar (Dry socket) osteitis

ADULT DOSE/ROUTE/DURATION PAEDIATRIC DOSE/ROUTE/DURATION
  • NO surgical prophylaxis indicated
  • NO surgical prophylaxis indicated

Complicated oral surgical procedures (e.g., difficult third molar extraction)

ADULT DOSE/ROUTE/DURATION PAEDIATRIC DOSE/ROUTE/DURATION
  • amoxicillin 2g PO x 1 dose 1h pre-op
    or
  • penicillin G 2MU IV ≤ 30 min pre-op
  • amoxicillin 50mg/kg PO x 1 dose 1h pre-op
    or
  • penicillin G 50,000U/kg IV ≤ 30 min pre-op

Penicillin/amoxicillin allergy

  • cefuroxime axetil 500mg PO x 1 dose pre-op
    or
  • cefuroxime 750mg IV/IM ≤ 30 min pre-op
    or
  • ceftriaxone 1g IV/IM ≤ 30 min pre-op

 

Penicillin/amoxicillin allergy

  • cefuroxime axetil 10mg/kg (max 500mg) PO x 1 dose 1h before
    or
  • cefuroxime 50mg/kg IV/IM ≤ 30 min pre-op
    or
  • ceftriaxone 50mg/kg IV/IM ≤ 30 min pre-op
     
Cefuroxime and ceftriaxone allergy
  • clindamycin 300mg PO x 1 dose 1h pre-op
    or
  • clindamycin 600mg IV ≤ 30 min pre-op
Cefuroxime and ceftriaxone allergy
  • clindamycin 20mg/kg PO x 1 dose 1h pre-op
    or
  • clindamycin 20mg/kg IV ≤ 30 min pre-op