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Dental premedication protocols for patients with knee and hip prostheses
Jason E Portnof1, Howard A Israel, Barry D Brause
1Department of Surgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York City, USA.
The New York State Dental Journal
|June 16, 2006
Summary
Dental treatment for patients with prosthetic joints may require antibiotic prophylaxis. This overview clarifies current recommendations for antibiotic use in patients with artificial joints undergoing dental procedures.
Area of Science:
- Dental medicine
- Orthopaedic surgery
- Infectious disease
Background:
- Joint replacement surgery is common, increasing the number of patients requiring dental care.
- Advisory statements on antibiotic prophylaxis for dental patients with prosthetic joints were issued by the ADA and AAOS in 1997 and updated in 2003.
- Clinical confusion persists regarding the necessity and indications for antibiotic premedication in this patient group.
Purpose of the Study:
- To provide an overview of current recommendations for antibiotic prophylaxis in dental patients with prosthetic joints.
- To clarify indications for chemoprophylaxis in this specific patient population.
Main Methods:
- Review of published guidelines and recommendations from professional organizations.
- Synthesis of information regarding antibiotic prophylaxis for patients with total joint replacements undergoing dental treatment.
Main Results:
- Guidelines for antibiotic prophylaxis in patients with prosthetic joints have been established.
- Ongoing confusion necessitates a clear summary of current recommendations.
Conclusions:
- Clearer understanding and application of antibiotic prophylaxis guidelines are needed for dental treatment of patients with prosthetic joints.
- Adherence to updated recommendations can help prevent complications.
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