Dental Patients with Total Joint Replacement

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This information was created by the Canadian Orthopedic Association (COA), the Canadian Dental Association (CDA), and the Association of Medical Microbiology and Infectious Disease (AMMI) Canada.

As a result of this work, the COA, CDA, and AMMI Canada provide the following guidance concerning the management of dental patients with orthopedic devices (2017):

• Patients should not be exposed to the adverse effects of antibiotics when there is no evidence that such prophylaxis is of any benefit.

• Routine antibiotic prophylaxis is not indicated for dental patients with total joint replacements, nor for patients with orthopedic pins, plates and screws.

• Patients should be in optimal oral health prior to having total joint replacement and should maintain good oral hygiene and oral health following surgery. Orofacial infections in all patients, including those with total joint prostheses, should be treated to eliminate the source of infection and prevent its spread.

Link to CDA