I’m getting mixed messages from dentists. About seven years ago I had a hip replaced. I’ve had no problems with it. Now I’m looking into getting a dental implant. I’ve been to two dentists for consultations. One feels strongly I need to be pre-treated with antibiotics because of my hip replacement in order to have the dental implant surgery. The other thinks that is unnecessary. Is there one answer that is correct?
Either philosphy is fine. However, I’d like you to understand the thinking behind both philosophies.
Until 2012, both the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association (ADA) recommended that anyone with hip replacements that
The theory behind it was bacteria could be introduced during the procedure which could invade and infect the area where you had surgery. It was a means of protection.
However, in 2012, both organizations have since said there is not enough evidence to make that an across the board requirement. This essentially leaves it up to the patient and dentist.
Infection and Dental Implants
When done by an experienced implant dentist, there is usually a 98% success rate. That’s very good. That last 2% falls in there because sometimes everything can go perfectly, but your body just rejects the implant.
Whether or not you get pre-treated with antibiotics is up to you. Either way, it’s important you keep an eye on the implant site during the healing and integration process. The leading cause of dental implant failure is infection.
At the first sign of any issue, you need to have your dentist look at it and evaluate whether or not an antibiotic is warranted. Don’t wait until there is a
This blog is brought to you by Lexington, KY Dentist Dr. Fred Arnold.