cbizzle7994

5+ Year Member
Apr 20, 2010
139
8
Status
Dental Student
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

5+ Year Member
Jan 26, 2013
81
16
Status
Dental Student
Pretreat with antibiotics if the surgery was in the last two years....

Or whatever the orthopedic surgeon tells you to do.
 

Saddleshoes

10+ Year Member
Oct 28, 2007
614
385
Status
Dentist
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.
 
Nov 17, 2014
2
0
Status
Dental Student
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.