Do you routinely recommend antibiotic prophylaxis for routine dental cleaning in patients taking mycophenolate mofetil?

The most recent AHA and ADA guidelines continue to recommend antibiotic prophylaxis prior to dental procedures for patients at high risk of developing endocarditis (Goff et al., PMID 31728507). Additional recommendations from the ADA include avoiding routine dental care for the first 6 months after ...

I do not. I am not aware of any guidance (or supporting evidence for) recommending dental prophylaxis for patients related to immunosuppressing agents. Rather, I recommend dental prophylaxis for patients based on cardiac risk factors--prosthetic valves or material, prior endocarditis, some congenita...