Premedication before dental treatment for patients who have joint replacements is no longer recommended for all patients.
The American Dental Association Council on Scientific Affairs has updated recommendations on the use of prophylactic antibiotics for patients who have prosthetic joints and are undergoing dental procedures. Current best evidence based on research did NOT demonstrate an association between dental procedures and prosthetic joint infection. Given the current widespread antibiotic resistance, potentially harmful adverse drug reactions, and costs associated with taking antibiotics, they are NO LONGER recommended for prophylactic use prior to dental procedures to prevent prosthetic joint infection. As always, clinical recommendations should be evaluated by the practitioner using professional judgment and should also be based upon the patient’s individual health profile.
Please tell your dentist and dental hygienist when you have had joint replacement surgery. We are happy to discuss the current recommendations with you and determine what is best for you. At McCarl Dental Group we update health history at each dental appointment at our Millersville Maryland Dental office and Greenbelt Maryland dental office. Dental patients can download our Health History form from our website.