Go Back   ISPINE.ORG Forum > Main forums > Abstracts and Articles
FAQ Members List Calendar Search Today's Posts Mark Forums Read

Abstracts and Articles Discuss Antibiotic Prophylactic Treatment for Dental Work in the Main forums forums; Do patients with total joint replacements need antibiotics before dental work? Cleveland Clinic Journal of Medicine 2003; 70(4):351-...

Reply
 
LinkBack Thread Tools Display Modes
  #1 (permalink)  
Old 02-18-2009, 03:37 AM
Justin's Avatar
Senior Member
 
Join Date: Apr 2007
Location: Philadelphia
Posts: 303
Default Antibiotic Prophylactic Treatment for Dental Work (Joint Replacement)


Do patients with total joint replacements need antibiotics before dental work?

Cleveland Clinic Journal of Medicine 2003; 70(4):351-352
Thomas F Keys

Antibiotic Prophylactic Treatment for Dental Work (Spine Universe)


Patients with artificial joints: do they need antibiotic cover for dental treatment?
Australian Dental Journal Medications, Supplement 2005;50:4 (S45-S53)
JF Scott, D Morgan, M Avent, S Graves, AN Goss
--> This is a great read with color pictures and charts from our friends "Down Under." After you click on the link above, scroll half way down the page and look for the title.
__________________
-Justin
1994 Football Injury
1997 Snow Skiing Injury
Laminotomy L4/L5 (3.7.97--17 years old)
1999 & 2003 MVA (not at fault both times)
Grade V Tears L4/L5 & L5/L6
2-Level ProDisc® L4/L5 & L5/L6* *lumbosacral transitional vertebra (11.15.03--23 years old)
Dr. Rudolf Bertagnoli -- dr-bertagnoli.com
Pain-free for the last 4.5 yrs.
5.14.09 DSS with Dr. B.
I'm here to help. Only checking PMs currently.

Last edited by Justin; 02-18-2009 at 11:29 AM.
Reply With Quote
  #2 (permalink)  
Old 02-18-2009, 03:12 PM
mmglobal's Avatar
Administrator
 
Join Date: Sep 2006
Posts: 2,511
Default

This has been discussed extensively in the patient community for years. When I started my post-op dental care, my dentist insisted on prophylactic antibiotics prior to treatment. I still go to the same dentist and she still requires 1 dose of antibiotics 1-2 hours prior to treatment.

6 years ago, all of the spine surgeons I asked recommended antibiotics prior to dental work. Now, some of them have revised their recommendations and don't require it for ADR. I don't believe that is true for other spine surgeries... I believe the criteria has to do with the location of the metal vs. blood supply???

Note that one of my mengitis from myelogram clients had a ton of hardware in his back from multiple posterior fusions. The theory is that without symptoms, the metal can provide a site for low grade infection and the access to the spinal canal can carry some of that bacteria in. Also note that my other meningitis from myelogram clients had 2-level lumbar ADR. I have no idea about technique for myelogram or other potential sources for the ADR client. I was present for the fusion guy's myelo. I used to work in sterile manufacturing, so I'm kind of hyper-aware of sterile technique and I did not see anything suspect.

Sorry for wandering, but it's all related. Back to antibiotics... I still get them. I would not if the dentist did not insist on them. As with all things spine, there is no clear path. I'd recommend that you tell your dentist... she may insist on them or defer to what your surgeon recommends. Know what your surgeon recommends BEFORE you go to the dentist and let your dentist know as well. That will give you the opportunity to get the antibiotics before you go in.

Mark
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
Reply With Quote
  #3 (permalink)  
Old 02-18-2009, 11:27 PM
Senior Member
 
Join Date: Oct 2006
Location: arizona
Posts: 256
Default

Interesting articles--and actually, reassuring with respect to the low risk.
Nevertheless, I do take clindamicin prior to dental work, which is usually routine cleaning, as prescribed by my surgeon.

I think the recommendation that patients take care of dental problems prior to surgery so that they are "orally fit" is something the community has not addressed before.

BTW, there is also an interesting article on biophosphanates and jaw necrosis
in the Australian journal.
Reply With Quote
  #4 (permalink)  
Old 02-19-2009, 02:29 AM
Senior Member
 
Join Date: Jan 2009
Location: Harbor Springs, Michigan
Posts: 211
Default

My dentist has insisted that, for the three years following my 4 level ADR surgery, that I take a dose of antibiotics one hour prior to any dental work. Better safe than sorry in my opinion.

Terry Newton
__________________
1980 ruptured L4-L5
1988 ruptured SI-L5
1990 ruptured C5-C6
1994 ruptured C6-C7
1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic
Bicycle Accident 2004
MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
Stenum Hospital Surgery November 4, 2006
Prestige Disc C5-C6, C6-C7
Maverick Disc S1-L5, L4-L5
Reply With Quote
  #5 (permalink)  
Old 02-20-2009, 03:31 AM
Junior Member
 
Join Date: Feb 2009
Location: Upper Marlboro, Maryland
Posts: 22
Talking Dental ABs or the half-pitbull woman

Thanks for the great articles. I've sent an email to the Pro-spine docs to see what they recommend for me. I'm thinking the risk is low but still wouldn't be surprised if it's recommended for me as my surgery was so recent. I have never had any dental problems requiring ABs, most issues have been from fracturing teeth due to bruxism-which I attributed in part to neck pain at night.
Just call me half Pitbull.
Reply With Quote
  #6 (permalink)  
Old 02-20-2009, 02:51 PM
mmglobal's Avatar
Administrator
 
Join Date: Sep 2006
Posts: 2,511
Default

Do you have lipstick on one lip?
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
Reply With Quote
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT. The time now is 09:53 AM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.