Do I need to take an antibiotic premedication prior to my dental appointment?
The American Dental Association (ADA) calls for the antibiotic premedication of relatively few patients compared to what they did in the past.
In the past, anybody with an artificial joint was premedicated before dental procedures. The most recent guideline states that “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended before dental procedures to prevent prosthetic joint infection.”
This change came about because research has shown that there is little evidence that dental procedures cause joint infections or that prophylactic antibiotics prevent them. There are also risks with antibiotics including potentially deadly allergic reactions, antibiotic resistance, and opportunistic infections.
Some people may still need antibiotics before dental procedures, but their orthopedic surgeon usually makes that determination and prescribes the antibiotics.
The American College of Cardiology in its latest recommendations calls for antibiotic prophylaxis if a patient has a prosthetic heart valve, heart valve repair with a prosthetic material, a history of infective endocarditis, a heart transplant, and in some instances of congenital heart disease.
If you are concerned about premedication before treatment, please call Chappell Family Dentistry for an appointment, and we will be happy to answer your questions.