Dental Treatment for Patients with Artificial Joints

Posted by Dr. Edward Magida | Filed under

Today's dentists are presented with a myriad of patients who have prosthetic joints, pins, screws and/or plates of some type. These patients need to have special consideration as far as how to keep these devices infection free. For many years there were conflicting ideas about the need to premedicate these people. The prevailing thoughts ranged from condemning the use of all prophylactic antibiotics for all dental procedures, to the complete opposite, which was to use antibiotics for all types of treatment on all patients, all the time for life.

In 1997, The American Dental Association, in conjunction with the American Academy of Orthopaedic Surgeons issued an advisory regarding antibiotic prophylaxis guidelines. This advisory stated that antibiotic premedication is not needed for patients who have pins, screws or plates, and it is also not indicated for the majority of dental patients who have total joint replacements. The advisory stated that only for those patients who would be at increased risk for blood borne total joint infection, should antibiotics be considered.

The following conditions or diseases would place a patient with a prosthetic joint at risk of infection following dental treatment:

  • Immunocompromised patients- either because of disease, drug or radiation induced suppression
  • Patients who have rheumatoid arthritis or systemic lupus erythematosus
  • Insulin dependent diabetics
  • Hemophiliacs
  • Malnourished patients
  • Joint replacement patients-up until the first 2 years after joint surgery
  • Joint replacement patients-if there has been a previous prosthetic joint infection

The advisory also stratified the incidence of bacterial infections developing based upon the severity of the dental treatment. The following are the types of treatments that would require antibiotic premedication. Extractions, periodontal treatments, implant placement, certain types of root canal procedures, initial placement of orthodontic bands, and a dental cleaning in a patient where much bleeding is expected to occur. Treatment that would not indicate antibiotics would include simple restorative or prosthetic dentistry, local injections, conventional root canal procedures, suture removal, orthodontic appliance removal, impressions and x-rays.

As stated before, some physicians and dentists advocate the use of antibiotic premedication for all procedures on patients with prosthetic joints. This can present a potential problem though, for the unrestrained use of antibiotics has been shown to have certain hazards. These include overgrowth of pathogenic organisms (disease causing bacteria ), secondary infections, bacterial resistance in the patient, bacterial resistance to the drug being used and allergic reactions, including potentially fatal anaphylactic reactions.

All patients preparing to undergo joint replacement should receive a complete dental examination including the taking of new x-rays to look for any infections present in the oral cavity. Even if the patient is not complaining of any problems or discomfort, a full mouth x-ray series is definitely needed, since many dormant or non-painful abscesses are found this way. The treating of any oral infection before the joint surgery is absolutely imperative to help prevent problems in the future with the prosthesis.

Every case is different, and if the treating dentist or physician has reason to think premedication is needed for a dental procedure, than after careful consideration of the guidelines, the patients health is of paramount importance.

April 12, 2010 13:07

Really interesting post. I enjoyed reading it. Are these genuine images or has the artwork been touched up they are truly. Thanks for sharing a nice info.

Texas Holdem poker United States

April 14, 2010 05:57

Usually I dont leave feedback on posts, but your blog I have to praise your writings. Thank you for the read, Ill link this site and come back.

Online Texas Holdem United States

April 14, 2010 09:34

Great post, I totally agree. How long have you been blogging for now, I really like the look of your site.

Rapidshare file search United States

April 27, 2010 03:33

hi..

ds United States

May 4, 2010 01:51

I came lately to your website and have been reading along. I thought I would leave my initial comment. Keep writing, cause your posts are impressive! Doesn't it take up a lot of time to keep your blog so fascinating???

Complete Healthcare Solutions United States

July 13, 2010 06:16

Really i appreciate the effort you made to share the knowledge.The topic here i found was really effective to the topic which i was researching for a long time.

dental treatment in mexico United States

July 29, 2010 05:44

I've read some of your posts and have enjoyed them. I found many interesting posts, especially the discussion and comments section. Keep up the good work.

Cho Yung Tea United States

August 10, 2010 01:21

I completely agree with the above comment, the internet is with a doubt growing into the most important medium of communication across the globe and its due to sites like this that ideas are spreading so quickly.

Ephedra United States

August 31, 2010 21:00

I would like to thank you for your efforts you could have produced in creating this post. I'm hoping the similar ideal deliver the results from you inside the potential at the same time. Actually your innovative creating abilities has inspired me to start off my unique BlogEngine website now. Actually the blogging is spreading its wings quickly. Your compose up is often a fine illustration of it.

ugg ultra short United States

September 5, 2010 23:31

Pretty insightful read. Never thought that it was this straightforward after all. I had used a great deal of my time looking online for someone to explain this subject clearly to me and managed to do that. Thanks a lot! Keep it up.

Genie Lynskey United States

September 14, 2010 18:09

It's easy to get agitated all these article directories.  I would like all the article directories that instantly accepts articles.

article directory United States

October 4, 2010 17:51

Great website...and cool article man...thanx for the great post...keep on posting such articles... Resources like the one you mentioned here will be very useful to me! I will post a link to this page on my blog. I am sure my visitors will find that very useful.

Смесители Grohe United States

October 4, 2010 17:51

Great website...and cool article man...thanx for the great post...keep on posting such articles... Resources like the one you mentioned here will be very useful to me! I will post a link to this page on my blog. I am sure my visitors will find that very useful.

Смесители Grohe United States

October 10, 2010 15:47

This can be specifically the distinction involving the main popular press and websites. The content are nicely composed and not corrected by an editor was. That is certainly the explanation why I enjoy to lookup for weblogs. The responses are typically very authentic, we could all use far more enjoyable reading. Make sure you go on like this, it truly is really worth.

Katina Troyer United States

October 11, 2010 13:36

The new Zune browser is surprisingly good, but not as good as the iPod's. It works well, but isn't as fast as Safari, and has a clunkier interface. If you occasionally plan on using the web browser that's not an issue, but if you're planning to browse the web alot from your PMP then the iPod's larger screen and better browser may be important.

lapel pins United States

October 12, 2010 20:35

I'd completely really like to begin a web site far too but I haven't any clue by which to commence off. I have got the capacity to carry out it , but I actually encounter like I'm far too lazy to publish frequently. Which is the issue, in the event you commence you have to go each one among the way in which. Nonetheless weblogs like yours inspire me to have got a go at it.

Puma shoes United Kingdom

October 14, 2010 04:08

Happy blogging and keep writing.

Teeth Whitening United States

October 14, 2010 07:01

You got a really useful blog I have been here reading for about an hour.

dentist Las Vegas United States

October 15, 2010 07:09

wow its very painful dude http://bagsofcopper.com/node/60942

bahan bakar murah United States

October 15, 2010 11:22

wow its very painful dude http://bagsofcopper.com/node/60942

mobil keluarga indonesia United States

October 17, 2010 15:31

why dont you close your comment dude ? full of comment ! http://http://penghancurranking.blogdetik.com

Mobil Keluarga Ideal Terbaik Indonesia United States

October 18, 2010 06:01

i will tell you how to save fuel for your car. You can check it

Freda Ockey United States

October 18, 2010 08:19

i will tell you how to save fuel for your car. You can check it

Mobil Keluarga Ideal Terbaik Indonesia United States

October 18, 2010 14:47

You can submit your blog on my web directory dude

link web directory United States

October 19, 2010 01:37

Its amazing what dentistry can provide. From bridges and everything else ... selecting the right dentist is where its at. Great information.

Cosmetic Dentistry Trenton United States

October 20, 2010 07:45

I never thought of it that way, well put!

army pay United States

October 21, 2010 01:34

Welcome, I just read texts on your blog and I became interested in the topic. I love your site and I am thinking whether I could use your words in my work? Would it be possible? If yes, please write to me.Thank you very much.

promocja stron United States

October 21, 2010 05:44

Hey, That was a great post thank u very much for sharing this information with everyone.

Excessive Sweating United States

October 21, 2010 05:55

Thank you for a great post.

article submission service United States

October 21, 2010 07:26

Good points

house insurance United States

October 22, 2010 03:49

Hi, I just read texts on your blog and I became interested in the topic. I like your blog and I am thinking whether I could use your entries in my paper? Might it be possible? If yes, please write to me.Thank you.

kredyty konsolidacyjne United States

October 23, 2010 03:34

Oh! What a great blog. I got here by an accident, throught my friend's blog. I like your texts. They are very interesting. And I'm thinking if I could use a part of your texts in my homework. Please write me back if it's possible. Thanks.

pożyczki pozabankowe United States

October 23, 2010 08:16

Hi, you create a opinion that I'd like to use in article on my web site. Will you agree for this? It's very important for me. I will sign a source of course.

pożyczki pozabankowe United States

October 24, 2010 02:58

when i stumbled upon this i assumed it was going to be filled with boring info, but actually it turned out to be quite useful. keep writing! Another good site helps you with finding dentists in your area is http://www.dentist-reviews.info

dr oogle United States

October 24, 2010 02:58

when i stumbled upon this i thought it was going to be filled with obvious advice, but actually it came out to be quite interesting. im impressed! Another good site helps you with finding dentists in your area is http://www.dentist-reviews.info

KARINA United States

October 24, 2010 05:36

I especially appreciate the information you have provided, and the links shared on this topic. Your assistance has been invaluable to me during this process.

Air Max 95 United States

October 24, 2010 11:47

Excellent read, I just passed this onto a colleague who was doing a little research on that. And he actually bought me lunch because I found it for him smile So let me rephrase that: Thanks for lunch!

prohormones United States

October 25, 2010 01:15

I really loved reading your blog. It was very well authored and easy to undertand. Unlike additional blogs I have read which are really not tht good. I also found your entries very interesting. In fact after reading, I had to go show it to my friend and he ejoyed it as well!

Drug rehab United States

October 27, 2010 13:39

You might haven't intended to do so, but I think you've managed to express the state of mind that lots of individuals are in. The sense of wanting to assist, but not knowing how or where, is something a lot of us are going through.

business accounting services United States

October 28, 2010 02:11

This looks absolutely perfect. All these tinny details are written with lot of background knowledge.

Landscape Las Vegas United States

October 28, 2010 16:41

Just wanted to say that you have some awesome content on your blog. If it's OK I wants to use some with the information you supplied on my website. If I link back again to your website would it be OK to do so?

Forex United States

October 29, 2010 05:19

I didn't know that.

army pay United States

October 31, 2010 18:48

I agree it was definitely worth my time at this site, the actual person knows about what he is saying. I hope you come back and post more, when it's convenient.  

Buy Air Jordans United States

November 1, 2010 06:29

We love reading your posts. Thank you!

cash for gold rancho cucamunga ca United States

November 1, 2010 06:31

This is so cool..thanks so much for the info. Love it!

cash for gold rancho cucamunga ca United States

November 2, 2010 10:40

Amaneci en casa de un amigo y no hay crema dental cuando en muchas ocaciones hay crema y no tienes cepillo me metere el cepillo por el culo

Darren Ganley United States

November 3, 2010 19:16

I dont know who you think you are, but youre just blowing smoke out your ear.  Nothing you're saying makes sense and its all a bunch of immature ranting.  Should you want individuals to get behind your blog, you ought to at the very least learn a little something about what youre talking about!

phlebotomy certification United States

November 10, 2010 05:29

well I guess you learn something new everyday. Got something outta this that I realize before. Thanks…

kredyty bez bik United States

November 14, 2010 11:20

Hey how are you doing? I just wanted to stop by and say that it's been a pleasure reading your blog. I have bookmarked your website so that I can come back & read more in the future as well. plz do keep up the quality writing

Lela Dunnum United States

November 16, 2010 16:25

Just read trough the post, thanks again. For the people who had problems viewing the page using google chrome clear your cache it will work then.

Runescape Woodcutting Guide United States

November 16, 2010 21:53

Hi. I just noticed that your blog looks like it has a few code errors at the very top of your site's page. I'm not sure if everybody is getting this same bugginess when browsing your blog? I am employing a totally different browser than most people, referred to as Opera, so that is what might be causing it? I just wanted to make sure you know. Thanks for posting some great postings and I'll try to return back with a completely different browser to check things out!

Diseño Web United States

November 17, 2010 06:46

This is a great idea.so this will be interesting.However, the survey link doesn’t seem to be working for me?

ugg store United States

November 17, 2010 18:08

I got your weblink, thanks.  It seems to be down or not working.  Does anyone have a backup link or mirror?  Cool that would help out.

Fumiko Ligon United States

November 21, 2010 12:42

It is writers like you, people who are willing to post  ideas online, that deserve thanks. You definately deserve to be recognized for talent with presenting ideas like this. Extraordinary point.

Patent Attorneys MN United States

November 21, 2010 17:07

This text is basically resourceful, I really stumbled upon this site not understanding i'd get this sort of rich content material and knwoledge. I've additionally checked on other poss of yours and so they had been quite enlighten and educative. You really did a pleasant job. Preserve it up.

cheap annual travel insurance United States

November 21, 2010 20:10

This article is absolutely resourceful, I actually stumbled upon this web site not understanding i would get this type of rich content and knwoledge. I have additionally checked on different poss of yours and so they were fairly enlighten and educative. You actually did a nice job. Hold it up.

insurance for young drivers United States

November 22, 2010 10:42

Why is it always the bass players who are most active on Twitter? my twitter is please http://twitter.com/uggfair follow me,thanks

ukugg United States

November 29, 2010 00:26

Hi there i do sherish your special site, i would be very glad if i could post a blog review ...

penis enlarge United States

November 29, 2010 03:54

Yesterday is not ours to recover, but tomorrow is ours to win or to lose.

high risk personal loan United States

November 29, 2010 11:25

Hey, I attempted to email you pertaining to this post but aren?t able to reach you. Please e-mail me when get a second. Thanks.

viagra online bestellen United States

November 29, 2010 15:45

Thank you for your article,It¡¯s well written, in depth posts like these that have aided me in becoming a good forex trader.

christian louboutin shoes United States

November 29, 2010 20:45

This is strange, but I can only see fifty percent the post, is this the internet website or my web browser?  I think I should reboot.

Candra Silver United States

November 29, 2010 21:58

Heya, already been reading your blogging site for a long time. I manage a comparable blog page but I keep receiving a pile of spam comments, how can you maintain your blog page so clean?

christian louboutin shoes United States

November 29, 2010 21:58

Nice information, valuable and excellent design, as share good stuff with good ideas and concepts, lots of great information and inspiration, both of which we all need, thanks for all the enthusiasm to offer such helpful information here.

christian louboutin shoes United States

November 29, 2010 22:39

That is very inspirational stuff. Never known that feeling can be this diversified. Thanks for all the enthusiasm to extend such helpful information on this post. . . .

christian louboutin shoes United States

November 30, 2010 01:47

That is very inspirational stuff. Never known that feeling can be this diversified. Thanks for all the enthusiasm to extend such helpful information on this post. . . .

Christian louboutin wedding shoes United States

November 30, 2010 03:40

came across your blog, since I was here make a note of. Well actually I can use this article too, I¡¯m so glad I found this site again. I need something like this something I am working on, fortunately for me mine is on a similar theme as yours. Thanks, great share

ugg shoes United States

November 30, 2010 04:12

So Great! I need some infos in this post for my rapport de stage. Can i have your contact please? I need your permission to quote it  . Anyway, That¡¯s great job. Keep going.

Christian louboutin wedding shoes United States

November 30, 2010 04:12

I love your site! did you generate this your self or did you outsource it? Im searching for a blog style thats similar so thats the only reason I¡¯m asking. Either way keep up the nice work I was impressed with your content really..

christian louboutin shoes United States

November 30, 2010 07:56

Hi there i do sherish your special site, i would be very glad if i could post a blog review ...

penis enlarge United States

November 30, 2010 07:56

Hi there i do sherish your special site, i would be very glad if i could post a blog review ...

penis enlargement United States

November 30, 2010 11:56

This blog is amazing one. I like the design of the blog

instant payday loan Maldives

November 30, 2010 12:01

This blog is amazing one. I like the design of the blog

apply online payday advance loan stores Ukraine

November 30, 2010 12:57

Hi there i do sherish your special site, i would be very glad if i could post a blog review ...

penis enlarge United States

November 30, 2010 16:34

Hi there i do sherish your special site, i would be very glad if i could post a blog review ...

penis enlargement United States

December 1, 2010 03:57

I hope you never stop! This is one of the best blogs Ive ever read. Youve got some mad skill here, man. I just hope that you dont lose your style because youre definitely one of the coolest bloggers out there. Please keep it up because the internet needs someone like you spreading the word.

Chestnut UGG Roxy Tall Boots 5818 United States

December 1, 2010 03:57

Great , i really like your weblog so much . It is one of the most effective post i¡¯ve seen lately on-line . I concur with all of the things you said within your document . You¡¯re one of many best report writers i¡¯ve seen so far . I¡¯ll ship your weblog to some of my buddies . With thanks once more for expressing this good content with us .

chestnut ugg rainier boots 5189 United States

December 2, 2010 21:26

Future blood tests may include antibodies against certain sugar (mannose) residues in the cell wall of the yeast saccharomyces cerevisiae. Anti-laminaribioside and anti-chitobioside antibodies were recently reported to be present in Crohn's patients who were anti-ASCA negative possibly further strengthening the ability to distinguish them from people with ulcerative colitis. This is also interesting because of suspicions and the lay public interest in the role of sugars or glycans and yeast in IBD. In particular the reports in lay literature of success of carbohydrate specific diet in IBD.

autoimmune skin disease United States

December 3, 2010 04:38

What a lovely blog. I spend days on the internet reading blogs, about tons of different subjects. I have to first of all give kudos to whoever created your theme and second of all to you for writing what i can only describe as an amazing post. I honestly believe there is a skill to writing articles that only a few posses and frankly you have it. The combination of informative and quality content is definitely extremely rare with the large amount of blogs on the internet.

Black UGG Broome Boots 5511 United States

December 5, 2010 15:48

I enjoyed this very much! Just charming! Your composing manner is pleasing and the way you managed the subject with grace is notable. I am intrigued, I presume you are an expert on this subject. I am subscribing to your updates from now on.

UGG Payton United States

December 7, 2010 13:41

Self-denial is not a virtue it is only the effect of prudence on rascality.

Illinois payday loans United States

December 7, 2010 23:01

I've had a fine time spending the last 10 minutes having a look around your blog, and it's great.

transaction management realtor United States

December 8, 2010 00:18

This is so cool..thanks so much for the info. Love it!

real estate document management United States

December 8, 2010 00:52

The truth is more important than the facts.

Wyoming payday loans United States

December 8, 2010 01:27

Thanks for taking the time to discuss this,would you mind updating your blog with additional information? It is extremely helpful for me

real estate application United States

December 8, 2010 03:45

I was very pleased to find this site. I wanted to thank you for this great read!! This is a very informative post, it helps me more.

real estate transaction broker United States

December 8, 2010 15:52

I suppose the same ideas could be applied to someone that offers no products but only advertising space on their blog. I guess that could be considered as a product

sex ogloszenia United States

December 9, 2010 01:12

Everything in the world may be endured except continued prosperity.

Kentucky payday loans United States

December 9, 2010 01:29

When we treat man as he is, we make him worse than he is when we treat him as if he already were what he potentially could be, we make him what he should be.

no fax payday loans United States

December 9, 2010 03:24

displeasing springiness rigid commonest interval here there tommorow yesterday fancy me

UGG Rainier United States

December 9, 2010 03:24

¡°I am speechless. This is really a fantastic website and quite partaking very. Wonderful give good results! That is not seriously significantly arriving from an amateur publisher like me, but it is all I could say right after diving into your posts. Great grammar and vocabulary. Unlike other blogs. You genuinely know what you are speaking about too. So much that you created me need to find out more. Your weblog has turn out to be a stepping stone for me, my fellow blogger. Many thanks to the thorough journey. I actually enjoyed the 8 posts that We have read so far. ¡°

UGG Ultra Tall Boots United States

December 10, 2010 02:00

Silence is the true friend that never betrays.

Georgia payday loans United States

December 13, 2010 13:53

Take care to get what you like or you will be forced to like what you get.

personal money loans United States

Comments are closed