- In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.
- For patients with a history of complications associated with their joint replacement surgery who are undergoing dental procedures that include gingival manipulation or mucosal incision, prophylactic antibiotics should only be considered after consultation with the patient and orthopedic surgeon.
- In cases where antibiotics are deemed necessary, it is most appropriate that the orthopedic surgeon recommend the appropriate antibiotic regimen and, when reasonable, write the prescription.
Antibiotic Prophylaxis for Prevention of Prosthetic Joint Infection Clinical Practice Guideline (2014)
The ADA Council on Scientific Affairs assembled an expert panel to update and clarify the clinical recommendations found in the 2012 evidence-based guideline for the use of antibiotic prophylaxis on preventing orthopaedic implant infection in patients undergoing dental procedures.
- Clinical recommendations
- Chairside guide
- Editorial: "Utilizing Appropriate Use Criteria in the Management of the Care of Patients with Orthopedic Implants Undergoing Dental Procedures"
- Oral Health Topics: antibiotic prophylaxis prior to dental procedures
- CE course: "Prophylactic Antibiotic Use in Dental Patients with Prosthetic Joints: What is the Evidence?"
- Search JADA for research related to prophylactic antibiotics
- ADA Library resources
- MouthHealthy: Antibiotic prophylaxis for prosthetic joints and orthopedic implants
- For the Patient: "What Is Antibiotic Prophylaxis?"
- Search the ADA Store for products related to antibiotic prophylaxis, including the ...