Click to download the following information sheets provided by our surgeons to help with your Post-Operative Care. All files are PDF format. More information sheets will be posted here periodically.
Patients with Joint Replacements who Require Dental Treatment.
Dental problems in the first 3 months following hip or knee joint placement surgery
Infection with abscess formation: Urgent and aggressive treatment of the abscess. Remove the cause (exodontic or endodontic) under antibiotic prophylaxis.
Pain: Provide emergency dental treatment for pain. Antibiotics are indicated if a high or medium risk dental procedure is performed.
Non-infective dental problem without pain: Defer non-emergency dental treatment until 3 to 6 months after prosthesis replacement.
Dental treatment after 3 months in a normal patient with a normally functioning artificial joint
Routine dental treatment including extraction – No antibiotic prophylaxis required.
Immunocompromised patients are a particular risk:
Failing, particularly chronically inflamed, artificial joints:
Consultation with the patient’s treating orthopaedic surgeon is recommended.
Defer non-essential dental treatment until the orthopaedic problem has been resolved.
Previous history of infected artificial joints:
Consider if the patient is immunocompromised.
Routine non-surgical dental treatment – no prophylaxis indicated.
Recommended antibiotic regimens where indicated:
If hypersensitive to penicillin replace amoxycillin with Vancomycin 1g I/V over 1 hour to finish just before procedure.
Ref: Scott JF et al, Patients with artificial joints: do they need antibiotic cover for dental treatment? Aust Dent J 2005:50 Suppl 2S45-S53
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