The Arthroplasty Socety of Australia has released a position statement with recommendations for artificial joint replacement patients who require dental treatment.
WITHIN 3 MONTHS OF JOINT REPLACEMENT SURGERY
- FOR INFECTION - Urgent treatment of any abscess is required with the cause immediately removed. Antibiotics must be prescribed prior to being seen
- FOR DENTAL PAIN - Emergency dental treatment must be carried out with antibiotics
- DENTAL ISSUES WITHOUT INFECTION - Defer non-emergency dental treatment for 3 to 6 months after prosthetic replacement.
AFTER 3 MONTHS IN A PATIENT WITH A NORMALLY FUNCTIONING ARTIFICIAL JOINT
Routine dental treatment is possible, including removal of a tooth, without antibiotics
IF AT RISK OF JOINT INFECTION due to
- Insulin dependent diabetes
- Immunosuppressive treatment for organ transplants or malignancy
- Those with systemic rheumatoid arthritis
- Those taking systemic steroids ( for example, severe asthma, dermatological problems)
-> THE TREATING PHYSICIAN MUST BE CONSULTED WITH PRIOR TO DENTAL TREATMENT
IF A PREVIOUS ARTIFICIAL JOINT HAS BEEN INFECTED
- routine non surgical dental treatment is possible without antibiotics
FOR FAILING AND INFECTED ARTIFICIAL JOINTS
- all dental treatment should be deferred unless it is an emergency
- the dentist must consult with your treating physician
RECOMMENDED ANTIBIOTICS FOR PROPHYLAXIS IN HIGH RISK CASES PRIOR TO DENTAL TREATMENT
-> Amoxycillin 2-3 g orally 1 hour prior to dental extraction or scaling and cleaning
For those with Penicillin hypersensitivity or for those on long term Penicillin, recent Penicillin use or use of other B-lactam (antibiotics related to Penicillin)
-> Clindamycin 600mg 1 hour prior to procedure or alternatives
Antibiotics for theatre and for severe infection treatment in hospital will be determined by the treating physicians.
The dentists at Brisbane Smile Boutique are well versed in current Antibiotic Prophylaxis and would be happy to discuss these matters with you at any time.