Posted , 15 users are following.
Can anyone tell me if I need antiboitics before going to the dentist for work? I am not sure I need to prepare for this sort of thing?
My friend whom has also had a hip replacement has cut her foot, it looks a bit infected does she need to take precautions?
1 like, 36 replies
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AlexandriaGizmo rose0000
Posted
I suppose the best person to ask would be your GP or consultant but because its Saturday you don't have much chance of that, your friend needs to go to walk-in centre to make sure because if it is infected then she needs meds, with you it all depends on when your going dentist, you can get that sorted before you go.
You also don't say how long ago you had HR
rose0000 AlexandriaGizmo
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julie49207 rose0000
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Hi Rose I left any dental treatment for 5 months and had two full crowns. My Dentist fully aware of my new hip and I haven't had antibiotics.
If you don't want to ring Consultant suggest you ring your Dr's for guidance.
Hope this helps.
Julie 🖒
rose0000 julie49207
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maggie93798 rose0000
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In the UK no longer recommended as a routine post hip replacement, but is still followed in other parts of the world. Tell your dentist and ask him his policy
If your friend has any signs of long term or spreading infection, a visit to the Dr is called for, but then it would be anyway for a non healing infected cut
beth2509 maggie93798
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rose0000 maggie93798
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Maggie, that is a great reply and answers the question as to why we might need an antibitoic. You would think there would be a fixed policy for all dentists to follow, rather than individual decisions....based on personal opinion. Surely there must be stats somewhere with clear indication of the chances of getting an infection without antibiotics with dentistry at least....given how much a revision will cost, and associated time off etc, it would be in everyone's interests to have a definitive answer.
I feel less confident of any one dentist deciding my risk factor...
renee01952 rose0000
Posted
hi rose,
my dentist is also aware of my 2 new shiny prothesis - depending on the procedure (mine was just filling a cavity) he, the dentist, would provide the anti biotic, make me take it right there and then wait in his waiting room ...
I didn't need it ...
as for your friend, yeah, better have it checked out ...
big warm hug
renee
rose0000 renee01952
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steve86482 rose0000
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rose0000 steve86482
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CelsB rose0000
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When I asked my dentist about this he said the practice of giving antibiotics prior to dental treatment is 20 years out of date. I think they still do it in the US and maybe other countries.
An infected foot is a different matter. Maybe your friend should ring NHS direct for advice.
Cels x
rose0000 CelsB
Posted
The antibiotics is a strange one, you can see from here all the different answers. How are you doing? I am glad you are still on here from time to time!
auntiebeanie rose0000
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Im in UK and was told by my dentist it is not routine to give antibs anymore when I needed a replacement crown fitted last year.
As to your friend she should go to A & E. My neice has just spent 4 days in hospital on IV antibs and an operation on her little toe when she developed blood poisioning. She has a blister on her toe that developed into an abcess inside. Spent her 19th birthday in hospital.
beachcover auntiebeanie
Posted
I'm in the US. Just had this convo with my surgeon preop. He said some surgeons recommend it, but he does not, unless you already have an infection such as abscess tooth. He said dentist and surgeon views have changed.
This is from the American Dental Assoc:
"In patients with prosthetic joint implants, a January 2015 ADA clinical practice guideline, based on a 2014 systematic review states, “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.”
According to the ADA Chairside Guide, 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."
rose0000 beachcover
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rose0000 auntiebeanie
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