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| Winter 2015 - (Volume 4, Issue 1) |
Introduction
Happy New Year! I hope that 2015 is off to a great start for everyone. In our first issue of volume 4 we highlight the new ADA guidelines for artificial joints recently published in the January 2015 issue of JADA. Although this isn't purely about endodontics, I think everyone reading this will find it very relevant. I've copied the summary box from the article for quick reference and abstracted the rest of the paper as usual. There have been so many changes to the recommendations in the last decade that it is really nice to have this very definitive statement from the ADA. I hope you find it useful.
Sollecito TP, Abt E, Lockhart PB, Truelove E, Paumier TM, Tracy SL, Tampi M, Beltran-Aguilar ED, Frantsve-Hawley J. The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints. J Amer Dent Assoc 2015;146:11-16.
The American Dental Association Council on Scientific Affairs convened a panel of experts to study and provide evidenced based clinical practice guidelines for the use of prophylactic antibiotics before dental procedures in patients that have a prosthetic joint. In their search of the literature they found four relevant articles, all of which did not support the use of antibiotics, and so they determined with moderate certainty that there is no association between dental procedures and prosthetic joint infections. Thus their recommendation is that 'In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infections.' Of course, you should remember that these are just guidelines and you should use your professional judgment. The summary figure of the recommendations copied from the articles is on the previous page. Summary: According to the ADA, prophylactic antibiotics are no longer recommended for patients with prosthetic joints.
Endodontic Spotlight is published quarterly by Steven C. Kwan, D.D.S., M.S.D.
Dr. Kwan practices at 6715 Fort Dent Way, Tukwila WA 98188
206-248-3330; 206-431-1158 (fax); www.seattle-endodontics.com
To subscribe or unsubscribe from this publication, email endodonticspotlight@gmail.com.
This publication may not be reproduced without written permission.
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