Teeth Cleaning After A Hip Replacement May Be Dangerous

17.01.2013

One of the most frequently executed bone surgery in the United States is hip replacement, which may be for the reason that there is a rise in joint problems such as osteoarthritis, according to the data from the Centers for Disease Control and Prevention. This may be a routine procedure done in many hospital across the country but there are certain risks that accompany it. The probability of going down with something due to infection drove many people to avoid their dentists for a while. There are questions, especially on whether avoiding any dental work is a necessary step when one has undergone total hip replacement.

 

As metal hip implants were often used during this option, many men and women have undergone hip revision due to faulty hip implants that led to the many DePuy Pinnacle law suit against the maker of the device. Men and women have visited the DePuy Pinnacle Lawsuit Center or at depuypinnaclelawsuit.com to know more about how they can receive compensation. Prescribed antibiotics are used as prophylaxis even for simple routine dental works if one has had a prosthesis implanted inside the body. Implants tend to become a magnet for infection and for this reason, men and women who have implants are asked to be careful with their health. In the efforts to avoid complications that may arise by going to the dentist, most orthopaedist give routine prophylaxis. On the other hand, not all health care providers agree with giving out routine prophylaxis for every dentist appointment.

 

Good oral hygiene is needed by patients who would undergo hip arthroplasty to lessen the possibility of bacteremia. Though many years have passed, one might still be at risk of bacteremia. The first two years after the said operation comprise the critical period. Many dentists and physicians still give routine antibiotics when they anticipate bleeding from their procedure even though there is no concrete evidence that there is greater risk for those with hip implants to acquire infection.

 

The American Academy of Orthopaedic Surgeons in cooperation with the American Dental Association has proposed the following antibiotic regimen:

 

The usual antibiotics given as prophylaxis are penicillin, cephalexin, cephradine and amoxicillin. These oral medications may be given one hour before any dental procedure. Clindamycin may be given if the patient is allergic to all the previously mentioned medications. The intravenous route may be used if the patient is unable to take any medications orally. There are instances when a certain patient is not to be given antibiotic, thus it is important to consult one’s attending physician first. It often lies within the doctor’s judgement if an additional protection needs to be given.

 

 

URL References:

depts.washington.edu/shoulder/Infections/895.pdf

healio.com/orthopedics/journals/ORTHO/%7B373044B7-103E-4558-B1F0-519328BED6A8%7D/Hematogenous-Infection-of-Total-Hip-Arthroplasty-With-Actinomyces-Following-a-Noninvasive-Dental-Procedure

dukehealth.org/orthopaedics/services/joint-replacement/care-guides/total-joint-replacement-surgery-information/dental-antibiotic-recommendation-for-joint-replacement

 

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