A patient with mitral valve prolapse and no history of endocarditis requires dental cleaning. What is the recommended prophylaxis?

In the context of a patient with mitral valve prolapse who has no history of endocarditis, the current guidelines indicate that no prophylaxis is necessary for dental cleaning. This is because mitral valve prolapse without associated risk factors does not typically increase the risk of bacterial endocarditis during routine dental procedures.

Prophylactic antibiotics are advised for patients with specific cardiac conditions that pose a higher risk for endocarditis, such as those with prosthetic heart valves, previous history of infective endocarditis, certain congenital heart conditions, or cardiac transplant recipients with valvulopathy. Since the patient in this scenario has mitral valve prolapse without any previous episodes of endocarditis, they are not considered to be at increased risk, and thus, no prophylactic antibiotic treatment is recommended before dental work.