Reconnecting Practicing Hygienists with the Nation's Leading Educators and Researchers.

Patients with Artificial Joints

Ask the Expert ForumCategory: PharmacologyPatients with Artificial Joints
guestuser asked 12 years ago
I was under the impression that a medical clearance and possible pre-meds were required for pt's with anything artificial in their body - shunts, artificial valves, metal screws in bone etc. When I asked the new dentist I am working with whether or not we required a pre-med and or medical clearance for someone with screws in their jaw from jaw surgery; I was told "absolutely not". Where can I find more information regarding this?
1 Answers
You can find very detailed information about this by looking at the ADA guidelines for antibiotic premedication in patients with artificial devices. We do not premedicate anyone with artificial pins, plates or screws: they are made of body-compatible titanium (like dental implants). The AHA guidelines clearly specify that there are now only 4 major categories of cardiac risk which require premedication, one of which is for artificial heart valves and AV shunts (which are typically in the arm for patients undergoing dialysis). Be sure to read the AHA guidelines for antibiotic premedication, as well as the ADA guidelines for patients with prosthetic devices. Here is the link to the American Heart Association guidelines Here is the link to the ADA website regarding patients with artificial joints.

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read More

Privacy & Cookies Policy

Dimensions' Discovery EXPO - Get early bird pricing through July 31, 2024!

Coupon has expired

Get Early Bird Pricing!