Abstract
The purpose of this viewpoint is to provide a framework that is used within the Mayo Clinic to align recommendations from infectious disease experts, dental specialists, and orthopedic surgeons with regards to need for antibiotic prophylaxis prior to invasive dental procedures.
Highlights
Other authors found the relationship between dental infections and prosthetic joint infections (PJIs) risk to be higher
The authors agreed with the 2003 statement from the American Dental Association (ADA) along with the American Academy of Orthopaedic Surgeons (AAOS) on the emphasis on maintenance of good oral hygiene to decrease bacteremia from routine daily activities
In light of the growing body of evidence regarding the role of dental procedures on the risk of PJI, the ADA and AAOS have updated their guidance on antibiotic prophylaxis over the years, which has been well-summarized by Goff et al (2020)
Summary
In light of the growing body of evidence regarding the role of dental procedures on the risk of PJI, the ADA and AAOS have updated their guidance on antibiotic prophylaxis over the years, which has been well-summarized by Goff et al (2020). The 2016 appropriate use criteria tool constructed by an expert writing panel can help to guide clinicians on whether antibiotic prophylaxis may be indicated (Quinn et al, 2017). A recent systematic review by Slullitel et al (2020) revealed no direct evidence to suggest prophylactic antibiotics prior to dental procedures in patients with TJA except in certain situations (Slullitel et al, 2020)
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