In most instances, antibiotics prophylaxis for dental procedures is rarely appropriate per the AAOS (American Association of Orthopedic Surgeons) and ADA (American Dental Association).
However, it may be appropriate for patients with the following risk factors:
- uncontrolled diabetes (within a year Postop)
- history of periprosthetic joint infection
- severely immune-compromised
DR. EL-YUSSIF’S RECOMMENDATION:
If the patient does not have any risk factors such as those stated above, I only recommend prophylaxis antibiotics for 1 year from the day of surgery.
If patient does have any of the risk factors stated above, I recommend prophylaxis for life.
If you require antibiotics, we recommend the following medication one hour prior to the dental procedure:
- Amoxicillin 2gm (four 500mg tables)
- If allergic to amoxicillin, we recommend Clindamycin 600mg
