quality of life by providing pain relief, mobility, and independence. There are already
more than 7 million people with prosthetic joints in the United States,
Clin Microbiol Rev. 2014; 27: 302-345
and this number is increasing rapidly. From the 1970s through the 1980s, orthopedic
surgeons began to call for dentists to give antibiotic prophylaxis (AP) to patients
with prosthetic joints undergoing invasive dental procedures (IDP). In 1988, the American
Dental Association (ADA) sponsored a workshop that concluded that scientific data
were inadequate to support the need for or effectiveness of AP and that the decision
to use or not use AP should be up to the dentist’s clinical judgement in consultation
with the orthopedist.
Management of dental patients with prosthetic joints.
JADA. 1990; 121: 537-538
In 1997 and again in 2003, the ADA and American Association of Orthopaedic Surgeons
(AAOS) published agreed-on guidelines, but in 2009 the AAOS put out a Patient Safety
Committee Opinion Statement that essentially reverted back to the pre-1997 practice
of covering all prosthetic joints for the lifetime of the patient. Despite multiple
attempts by the ADA and AAOS since 1995 to resolve whether IDP predispose patients
to late prosthetic joint infection (LPJI) and whether AP is effective and safe in
preventing LPJI, these issues still are not resolved.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116: 1-3
,
- Lockhart P.B.
- Garvin K.L.
- Osmon D.R.
- et al.
thing.
J Am Acad Orthop Surg. 2013; 21: 193-194
,
- Sollecito T.P.
- Abt E.
- Lockhart P.B.
- et al.
joints: evidence-based clinical practice guideline for dental practitioners—a report
of the American Dental Association Council on Scientific Affairs.
JADA. 2015; 146 (e8): 11-16
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Biography
Dr. Lockhart is a research professor, Department of Oral Medicine, Carolinas Medical Center-Atrium Health, Charlotte, NC.
Biography
Dr. Springer is the fellowship director, OrthoCarolina Hip and Knee Center and Atrium Musculoskeletal Institute, Charlotte, NC.
Biography
Dr. Baddour is a professor of medicine, Division of Infectious Diseases, Departments of Medicine and Cardiovascular Disease, Mayo Clinic College of Medicine, Rochester, MN.
Biography
Dr. Thornhill is an adjunct professor of oral medicine, Department of Oral Medicine, Carolinas Medical Center-Atrium Health, Charlotte, NC, and a professor of translational research in dentistry, Unit of Oral and Maxillofacial Medicine Surgery and Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Article Info
Publication History
Published online: April 06, 2022
Publication stage
In Press Corrected Proof
Footnotes
Disclosures. None of the authors reported any disclosures.
Commentaries represent the opinions of the authors and not necessarily those of the American Dental Association.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.02.010
Copyright
© 2022 American Dental Association. All rights reserved.
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