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General: Is Antibiotic Coverage for Dental Work needed after fracture treatment with hardware?

An advisory statement was issued jointly by the American Academy of Orthopaedic Surgeons and the American Dental Association on the issue of the need for antibiotic treatment to cover dental work after joint replacement operations. The conclusion was that for most patients after joint replacement the risk of developing an infection after dental work 2 years following the surgery is so low that the risk of a bad reaction to the antibiotics is higher. If a dental patient has had a joint replacement within the last two years they advise using antibiotics to cover the dental work. After two years for joint replacements they advise against using antibiotics.

Note that they specifically state that Antibiotic prophylaxis is not indicated for dental patients with pins, plates and screws so this should not be an issue for most people with broken legs.

Myles Clough Jan 20 2002


From: Lynda

Back on Dec 5 Annie brought up the topic of possible problems related to dental work (root canals, extractions, etc.) that might cause problems for hardware. This is something none of us had apparently heard about. I know my os sure didn't mention it and I doubt I would think to mention it to to my dentist.

Could you address this, if you believe this is an issue? From what the others had to say, it sounds serious enough to cover here.


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