Patients with artificial joints: do they need antibiotic cover for dental treatment?

Scott, J. Anthony G.; Morgan, Daniel J.; Avent, Minyon; Graves, Stephen; Goss, AN

doi:10.1111/j.1834-7819.2005.tb00386.x

Cited by 19 publications

(18 citation statements)

References 30 publications

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“…In two separate reviews of the literature it was concluded that dental treatment did not significantly contribute to the development of infections of these joints (Wahl 1995, Scott et al 2005.…”

Section: Dental Bacteraemia and Other Medical Conditionsmentioning

confidence: 99%

Bacteraemia due to dental flossing

Crasta

Daly

Mitchell

et al. 2009

J Clinic Periodontology

113

105

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Aims: The aims of this study were to (1) investigate the incidence of bacteraemia following flossing in subjects with chronic periodontitis or periodontal health; (2) identify the micro‐organisms in detected bacteraemias; and (3) identify any patient or clinical factors associated with such bacteraemia. Material and Methods: Baseline blood samples were obtained from 30 individuals with chronic periodontitis (17 M:13 F, 29–75 years) and 30 with periodontal health (17 M:13 F, 28–71 years) following a non‐invasive examination. Each subject's teeth were then flossed in a standardized manner and blood samples obtained 30 s and 10 min. after flossing cessation. Blood samples were cultured in a BACTEC™ system and positive samples subcultured for identification. Results: Forty per cent of periodontitis subjects and 41% of periodontally healthy subjects tested positive for bacteraemia following flossing. Viridans streptococci, which are commonly implicated in infective endocarditis (IE), were isolated from 19% of positive subjects and accounted for 35% of microbial isolates. Twenty per cent of subjects had a detectable bacteraemia at 10 min. post‐flossing. No patient or clinical factors were significantly associated with post‐flossing bacteraemia. Conclusions: Dental flossing can produce bacteraemia in periodontally healthy and periodontally diseased individuals at a rate comparable with that caused by some dental treatments for which antibiotic prophylaxis is given to prevent IE.

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Section: Dental Bacteraemia and Other Medical Conditionsmentioning

confidence: 99%

Bacteraemia due to dental flossing

Crasta

Daly

Mitchell

et al. 2009

J Clinic Periodontology

113

105

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“…1 It is different to the prescription of antibiotics to prevent infection occurring at a distant site, such as the heart 2 or around implanted foreign bodies. 3 It is also different to the therapeutic use of antibiotics to treat established bacterial infections. 4 It requires a high rate of post-operative bacterial infection at the wound site; evidence that appropriate use of for example in bowel resection where, in the absence of proper bowel preparation and antibiotic prophylaxis, the risk of infection is high and potentially fatal.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic prophylaxis for dentoalveolar surgery: is it indicated?

Lawler

Sambrook

Goss

2005

Australian Dental Journal

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Usually dentists in Australia give patients oral antibiotics after dentoalveolar surgery as a prophylaxis against wound infection. When this practice is compared to the principle of antibiotic prophylaxis in major surgery it is found to be at variance in a number of ways. In major surgery, the risk of infection should be high, and the consequences of infection severe or catastrophic, before antibiotic prophylaxis is ordered. If it is provided then a high dose of an appropriate spectrum antibiotic must be present in the blood prior to the first incision. Other factors which need to be considered are the degree of tissue trauma, the extent of host compromise, other medical comorbidities and length of hospitalization. Standardized protocols of administration have been determined and evaluated for most major surgical procedures. Dentoalveolar surgery is undoubtedly a skilled and technically challenging procedure. However, in contrast to major surgical procedures, it has a less than five per cent infection rate and rarely has severe adverse consequences. Dentoalveolar surgery should be of short duration with minimal tissue damage and performed in the dental chair under local anaesthesia. Controlled studies for both mandibular third molar surgery and placement of dental implants show little or no evidence of benefit from antibiotic prophylaxis and there is an adverse risk from the antibiotic. This review concludes that there is no case for antibiotic prophylaxis for most dentoalveolar surgery in fit patients. In the few cases where it can be considered, a single high preoperative dose should be given.

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“…Table 3. Papers with relevance to oral medicine, bisphosphonates 53,54 and antibiotic prophylaxis, [55][56][57][58] published in the Australian Dental Journal 2000-2010…”

Section: Discussionmentioning

confidence: 99%

Oral medicine in Australia 2000–2010. A publications overview

Savage

2010

Australian Dental Journal

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Specialties within health care are often identified by the public profile provided by members within the private clinical practice arena. This is clearly important but often the real activity of a specialty discipline exists within the training institutions. This is an unseen area for most, both members of the public as well as professional colleagues, as papers reporting developments of all kinds are delivered to highly specific target audiences and publications reporting research are published in journals again targeting specific audiences. Publication in national journals is important and provides a glimpse of research activities and a wealth of clinical material in the form of reviews and case reports directed again to a specific target audience. This paper addresses the profile of oral medicine in Australia by presenting the papers published in the Australian Dental Journal within a 10-year bracket.

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Patients with artificial joints: do they need antibiotic cover for dental treatment?

Cited by 19 publications

References 30 publications

Bacteraemia due to dental flossing

Bacteraemia due to dental flossing

Antibiotic prophylaxis for dentoalveolar surgery: is it indicated?

Oral medicine in Australia 2000–2010. A publications overview

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