JOINT REPLACEMENT AND DENTAL ANTIBIOTIC PROPHYLAXIS.

Greeting to all my dear readers and viewers..

This time going to make you all aware of the use of ANTIBIOTIC PROPLHYLAXIS for the POST -KNEE OR HIP- JOINT REPLACEMENT( HIP OR KNEE ARTHROPLASTY) before the Invasive(MODERATE TO SEVERE) dental treatment procedures.

Pic:

BASED ON THE…. current or the previous(retrospective)studies /data-case reports, the recommendation of the ANTIBIOTICS BEFORE DENTAL TREATMENT is still a topic of discussion by the medical and dental practitioners.

STILL EXISTS AS A DILEMMA FOR THE DENTAL PRACTIONERS AND CONFLICTING FOR THE ORTHOPAEDIC SURGEONS whether to consider antibiotics prior dental procedures in terms of BACTEREMIA.

Updated guidelines are published time to time for the conflicting projections being in agreement for some and others in disagreement for the orthopedic surgeons.

ANTIBIOTIC GUIDELINES OR RECOMMENDATIONS.

MINIMAL TIME PERIOD TILL NO ANTIBIOTIC TO BE TAKEN.:

Time period -POST-PONE MINOR dental procedures OTHER THAN INVASIVE DENTAL TREATMENT PROCEDURES..

POST-PONE till 3 MONTHS.

Post 3 months ,for minor procedures(non-invasive procedure), NO ANTIBIOTIC PROPHYLAXIS REQUIRED as such.

NOTE:-

BUT FOR EMERGENCY PROCEDURES,OR severe dental infection like dental abscess(INVASIVE PROCEDURES), ANTIBIOTIC PROPHYLAXIS IS TAKEN WITHOUT FAIL.

WHEN TO BE TAKEN:-

When to start with the ANTIBIOTIC PROPHYLAXIS..DEPENDS UPON THE SEVERITY AND THE KIND or NATURE OF THE ORAL PATHOLOGICAL CONDITION/ UNERLYING DENTAL PATHOLOGY.

PURELY TAKEN UNDER STRICT PROVISION.

COMORBIDITIES AND THE ASSOCIATED MEDICATION:-

So ..here we need to understand the use of ANTIBIOTICS FOR THE INVASIVE DENTAL PROCEDURES DEPENDING UPON THE COMORBIDITIES ASSOCIATED.

*COMORBIDITIES LIKE Diabetes ,underlying bleeding disorders,thyroid disorders,osteoskeletal disorders,autoimmune disorders,musculosketetal disorders, respiratory, cardiovascular disorders,immunocompromised disorders etc.

*Medication like corticosteroids for skin or respiratory disorders (asthma) or for any COMORBIDITIES also immunosuppressive medication for cancer or organ transplants should to considered strictly.

*ANTIBIOTIC PROPHYLAXIS SHOULD BE GIVEN TO THE PATIENTS FOR THE CARDIOVASCULAR DISORDERS according to the AMERICAN HEART ASSOCIATION IN TERMS OF COMPLICATIONS RESULTING IN adverse outcome from INFECTIVE ENDOCARDITIS.

*PREVIOUS HISTORY WITH ANY PROSTHETIC JOINT INFECTION /ORTHOPEFIC IMPLANT INFECTION POST- SURGERY.

*CHANCES OF BACTEREMIA are there if antibiotic prophylaxis not taken seriously with patients having additional comorbidities before any dental treatment procedure related to established infection.

Not to be missed.. ABOVE CONSIDERATIONS FOREMOST..

HERE NEED TO SUMMARIZE THAT THE ANTIBIOTIC PROPHYLAXIS CHIEFLY DEPENDS UPON THE PATIENT‘S SYSTEMIC HEALTH WITH ANY PROSTHETIC CARDIAC IMPLANTS GIVEN EARLIER OR THE JOINT IMPLANTS GIVEN CURRENTLY.

DURATION ,COMORBIDITIES, MEDICATION ,SYSTEMIC VITALITY, DENTAL PROCEDURES UNDERTAKEN EARLIER,SEVERITY OF THE DENTAL ISSUES TO BE ADDRESSED IN A DETAILED MANNRR THAT NEEDS TREATMENT. 

HISTORY GIVING WITH HISTORY TAKING HAS TO BE VERY CLEAR FOR A GOOD SMOOTH PROGNOSIS BOTH FOR THE PROSTHETIC IMPLANTS AND THE SUCCESSFUL DRNTAL TREATMENT OUTCOME WITHOUT ANY COMPLICATIONS. 

SO...HERE I AM ENDING AGAIN TO BE BACK WITH ANOTHER BLOG KEEPING YOU ALL ALERT AND MAKING YOU AWARE AND ACCUSTOMED REGARDING THE HUGE CONNECTION BETWEEN THE DENTAL AND THE SYSTEMIC HEALTH.

THESE BLOGS KEEP YOU PREPARED FOR DIFFERENT KINDS OF CHALLENGES YOU MAY FACE DURING THE TREATMENTS YOU HAVE UNDERGONE EARLIER WITH THE UNDERLYING SYSTEMIC AFFLICTION SO FAR....

Blogs are now more or less beyond dentistry touching your sysyemic health too in a broader way..

THANKYOU..

KEEP YOUR SMILES GROWING EACH DAY ......

GOODBYE....

..