Description:
The 2014 Council of Scientific Affairs panel review of the evidence failed to
find an association between dental procedures and prosthetic joint infection,
concluding that prophylactic antibiotic use is generally not recommended prior
to dental procedures. This course will explore why this clinical recommendation
should be integrated with the practitioner's professional judgment and the
patient's needs and preferences. Additionally, information pertaining to the
appropriate-use criteria on prophylactic antibiotic use in dental patients with
prosthetic joints will be presented.
Learning Objectives:
- Examine the rationale for the use of prophylactic antibiotics
- Identify the evidence regarding antibiotic prophylaxis in a patient with a
prosthetic joint
- Describe the reasoning behind the ADA’s clinical practice guideline on
this topic area
Abstract:
Dr. Sollecito’s course presents a review of the ADA’s clinical practice
guideline on use of prophylactic antibiotics prior to dental procedures in
patients with prosthetic joints, which was published in the January 2015 issue
of JADA. The course also summarizes recent appropriate-use criteria on this
clinical issue, which were published in the Journal of the American Academy of
Orthopaedic Surgeons. Dr. Sollecito includes information on the scientific
rationale behind the ADA’s evidence-based guideline, which conclude that, in
general, for patients with prosthetic joint implants, prophylactic antibiotics
are not recommended prior to dental procedures to prevent prosthetic joint
infection.
Outline:
Case Pages
- Video Presentation
- Examination