Total Joint Replacement

[LaurenM]

What are the current guidelines for Total Joint Replacement and Antibiotic Prophylaxis?

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[cbizzle7994]

As far as I know, the most recent ADA guidelines report that there is insufficient evidence to recommend one way or the other with regards to antibiotic prophylaxis for total joint replacements. That being said, our school does require antibiotic prophylaxis for total joints regardless of previous recommendations by dentists/physicians.

 

[InspiredDDS]

Pretreat with antibiotics if the surgery was in the last two years....

Or whatever the orthopedic surgeon tells you to do.

 

[Saddleshoes]

whatever the orthopedic surgeon tells you to do.

Interestingly, in my area we have two big orthopedic clinics. One requires all their joint replacements to use pre-med for dental stuff the other one only asks for a premed if the surgery was recent.
The point being...
Get a consult from the orthopod.

 

[sgv]

inconclusive evidence...i'd want to cover my ass so i side with prophylaxis
http://www.ada.org/en/member-center/oral-health-topics/antibiotic-prophylaxis#replace

 

[good_crentist]

To cover yourself, perform med consult to orthopedic stating you are not going to pre-medicate given recent research and the inconclusive evidence of dental bacteremia-induced prosthetic joint infection. Just want it for formal documentation.