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Knee & Hip Problems Message Board
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Old 03-08-2008, 08:55 AM   #1
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Dental appointments after total hip replacement

Hi newbies:

Maybe everyone knows this already, but here goes for those who don't!

After total hip replacements, an anti biotic is required for dental appointments, at least for the next few years, is my understanding.

I got the prescription from my primary care physician and this anti biotic is to be taken one hour before the dental appointment, and this means for routine cleaning and exam in addition to any repair work. During cleaning, the gums can be nicked, and bacteria from them may enter the bloodstream. My brother in law has a pacemaker, and he has to take an anti biotic before dental appointments. I had to take four pills before the appointment and none after that. Just those four pills and no course of anti biotics that one usually expects.

The hygienist said that they sometimes have to send patients back home because they did not know they had to take an anti biotic. This of course makes the patients angry!

I brought the anti biotic capsule container along to show to the hygienist and she was happy that I did this. There are two refills for me.

I looked through the materials the hospital sent before the hip replacement surgery and I didn't see any mention of this in there.

Shirley H.

 
Old 03-08-2008, 09:37 AM   #2
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Re: Dental appointments after total hip replacement

Shirley....

The new guidelines for antibiotics taken for dental cleanings, procedures, etc. have changed. They now recommend coverage for 2 years after hip replacements. I was told by both of my surgeons to take them for life. In fact, I was given a card listing invasive procedures and the IV/oral antibiotic guidelines for such procedures.

I've pre-medicated for years because of Mitral Valve Prolapse and ,the last time I had my cleaning, the hygienist told me the protocol for MVP has changed also.....that it wasn't necessary to pre-medicate.

IMHO, swallowing a couple of Amoxicillan twice a year offers me some peace of mind and I will continue to do so....regardless of the new guidelines.

Copy and paste the following into your browser for updated info....

[url]http://www.ada.org/prof/resources/pubs/jada/reports/report_prophy_statement.pdf[/url]

Best wishes,
Linda

 
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Old 03-08-2008, 10:01 AM   #3
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Re: Dental appointments after total hip replacement

Hi Linda:

Thanks for the update. A nurse at my medical clinic told me that the American Dental Association had changed its guidelines, too. But I think I have a very conservative physician and he wrote the prescriiption. Like you, I would rather be safe than risk an infection so I hope that I will be taking the anti biotic for at least the next two years.

I mentioned all this to the hygienist and they still follow the old protocol for pre appointment anti biotics. Guess this is all up in the air the way it sounds to me, my dental clinic insists on the anti biotic. It is the physicians that are insisting on the anti biotic.

Thanks again.

Shirley H.

 
Old 03-08-2008, 09:14 PM   #4
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Re: Dental appointments after total hip replacement

My cardiologist wanted me to continue with the meds after the new guidelines and several dentists want to continue prescribing. My new Kaiser cardiologist wrote a letter stating the guidelines so she cut me off. My hubby was told 2 years after his hip replacements but because he also has hemolytic anemia and no spleen, I expect that he will take them before any dental appointment for the rest of his life.

 
Old 03-09-2008, 07:25 AM   #5
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Re: Dental appointments after total hip replacement

Shirley,
You mentioned not seeing the info about the antibiotics before dental in your pre surgery packet. I can see how you may have missed it. When mine came, there was just a small slip of paper in there, about 5 x7 or smaller in size, informing me of that. It was separate from the rest of the information, and almost seemed thrown in as an afterthought.

 
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