Re: replacement - now antibiotics after dental work . . .

[Guest guest]

said the following on 27/08/2010 03:43:

> Yes I have to. In fact I just went in for my 1 year check up

> and I asked how long I have to take the antibiotics for my teeth and

> my doctor told me forever. I will always need to take them when I

> get my teeth worked on.

Hi all:

I find it quite interesting that this thread has come up at this time.

Just this last Monday I went for my first dental appointment since my Bi

Hip replacement 17 months ago. I informed the dentist of my hip

replacements, and in the event needed 1 filling and a 'clean & polish'.

This was all done with no mention of antibiotics, so before leaving I

queried the situation. The dentist told me that the general consensus,

now, is that it is more problematic to give antibiotics than not to:

problems with people's reactions to them, and the matter of giving the

bugs too much opportunity to develop resistance to the drugs. The

dentist went on to say that with fillings, and clean/polish, there will

be no more bacteria (and possibly less) entering the blood stream than

when cleaning your own teeth (sounds logical), and the automatic giving

of antibiotics was just a precautionary measure anyway - now believed to

be a total 'overkill'. Further, she said that they would only consider

giving antibiotics in the case of an extraction, but even then they

would contact the OS to see if he felt it was really necessary.

It seems that they don't want to give AB at all unless they really have to.

So there we are. I had a filling & Clean/Polish - with no antibiotics!

(Sort of . . . good news, I think - you feel less 'tied' to something).

Regards,

Mick.

[Guest guest]

Glad to hear this! I had my TKR done at Cleveland Clinic, and was told I didn't

need antibiotics and that as a preventative, they are no longer recommending it.

There are so many " superbugs " that are supposedly developing due to resistance

from overuse, that they no longer give them unless absolutely necessary.

f.

>

> said the following on 27/08/2010 03:43:

> > Yes I have to. In fact I just went in for my 1 year check up

> > and I asked how long I have to take the antibiotics for my teeth and

> > my doctor told me forever. I will always need to take them when I

> > get my teeth worked on.

>

> Hi all:

>

> I find it quite interesting that this thread has come up at this time.

> Just this last Monday I went for my first dental appointment since my Bi

> Hip replacement 17 months ago. I informed the dentist of my hip

> replacements, and in the event needed 1 filling and a 'clean & polish'.

> This was all done with no mention of antibiotics, so before leaving I

> queried the situation. The dentist told me that the general consensus,

> now, is that it is more problematic to give antibiotics than not to:

> problems with people's reactions to them, and the matter of giving the

> bugs too much opportunity to develop resistance to the drugs. The

> dentist went on to say that with fillings, and clean/polish, there will

> be no more bacteria (and possibly less) entering the blood stream than

> when cleaning your own teeth (sounds logical), and the automatic giving

> of antibiotics was just a precautionary measure anyway - now believed to

> be a total 'overkill'. Further, she said that they would only consider

> giving antibiotics in the case of an extraction, but even then they

> would contact the OS to see if he felt it was really necessary.

>

> It seems that they don't want to give AB at all unless they really have to.

>

> So there we are. I had a filling & Clean/Polish - with no antibiotics!

> (Sort of . . . good news, I think - you feel less 'tied' to something).

>

> Regards,

>

> Mick.

>

[Guest guest]

Interesting. I've never had a bad reaction to antibiotics. I think my fear of

infection from my TKR will keep me on them.

RTKR - 9/16/09

OS: Coon, St. Helena, CA

Re: replacement - now antibiotics after

dental work . . .

said the following on 27/08/2010 03:43:

> Yes I have to. In fact I just went in for my 1 year check up

> and I asked how long I have to take the antibiotics for my teeth and

> my doctor told me forever. I will always need to take them when I

> get my teeth worked on.

Hi all:

I find it quite interesting that this thread has come up at this time.

Just this last Monday I went for my first dental appointment since my Bi

Hip replacement 17 months ago. I informed the dentist of my hip

replacements, and in the event needed 1 filling and a 'clean & polish'.

This was all done with no mention of antibiotics, so before leaving I

queried the situation. The dentist told me that the general consensus,

now, is that it is more problematic to give antibiotics than not to:

problems with people's reactions to them, and the matter of giving the

bugs too much opportunity to develop resistance to the drugs. The

dentist went on to say that with fillings, and clean/polish, there will

be no more bacteria (and possibly less) entering the blood stream than

when cleaning your own teeth (sounds logical), and the automatic giving

of antibiotics was just a precautionary measure anyway - now believed to

be a total 'overkill'. Further, she said that they would only consider

giving antibiotics in the case of an extraction, but even then they

would contact the OS to see if he felt it was really necessary.

It seems that they don't want to give AB at all unless they really have to.

So there we are. I had a filling & Clean/Polish - with no antibiotics!

(Sort of . . . good news, I think - you feel less 'tied' to something).

Regards,

Mick.

------------------------------------

[Guest guest]

You're lucky! I've had some pretty bad reactions. In fact I can't take sulfa

drugs or penicillin because I swell & get horrible hives. And lots of others

have given me stomach cramps, nausea, diarrhea - I have a pretty limited list

left! My husband just had a bone marrow transplant, so he was on constant

anti-biotics for 6 months or so. He just spontaneously breaks out in itchy

rashes and they never know which drug is doing it!

F.

________________________________

From: Bentley <sbentley@...>

Joint Replacement

Sent: Fri, August 27, 2010 10:03:05 AM

Subject: Re: replacement - now antibiotics after

dental work . . .

Interesting. I've never had a bad reaction to antibiotics. I think my fear of

infection from my TKR will keep me on them.

RTKR - 9/16/09

OS: Coon, St. Helena, CA

Re: replacement - now antibiotics after

dental work . . .

said the following on 27/08/2010 03:43:

> Yes I have to. In fact I just went in for my 1 year check up

> and I asked how long I have to take the antibiotics for my teeth and

> my doctor told me forever. I will always need to take them when I

> get my teeth worked on.

Hi all:

I find it quite interesting that this thread has come up at this time.

Just this last Monday I went for my first dental appointment since my Bi

Hip replacement 17 months ago. I informed the dentist of my hip

replacements, and in the event needed 1 filling and a 'clean & polish'.

This was all done with no mention of antibiotics, so before leaving I

queried the situation. The dentist told me that the general consensus,

now, is that it is more problematic to give antibiotics than not to:

problems with people's reactions to them, and the matter of giving the

bugs too much opportunity to develop resistance to the drugs. The

dentist went on to say that with fillings, and clean/polish, there will

be no more bacteria (and possibly less) entering the blood stream than

when cleaning your own teeth (sounds logical), and the automatic giving

of antibiotics was just a precautionary measure anyway - now believed to

be a total 'overkill'. Further, she said that they would only consider

giving antibiotics in the case of an extraction, but even then they

would contact the OS to see if he felt it was really necessary.

It seems that they don't want to give AB at all unless they really have to.

So there we are. I had a filling & Clean/Polish - with no antibiotics!

(Sort of . . . good news, I think - you feel less 'tied' to something).

Regards,

Mick.

------------------------------------

[Guest guest]

Hi,

I had bilateral TKR done 7/09.

At my dental appointment prior to surgery, I told my dentist I was scheduled for

my TKR in a couple months. When I left that day, she gave me a prescription for

antibiotics for my next appointment, since I would have my new knees by then.

My next appointment was in November of '09, I forgot to get the prescription

filled, and my dentist wouldn't allow me to have my appointment (cleaning,

polishing, x-rays). She also wanted, in writing, how long post-surgery my

surgeon wanted me on antibiotics. Dr. K. said typically it's 2-3 years, so was

surprized my OS indicated he wanted me on prophylatic antibiotics permanently.

A topic was mentioned that is interesting to me. The concern was that joint

replacement patients develop a resistance to the " front-line " antibiotics

prescribed us for dental work (Keflex, etc.) Over the course of getting the

dental work antibiotics issue taken care of, I found out from my OS that

permanent antibiotics for any dental work for joint replacement patients is

routine. The issue of developing resistance to the antibiotics did come up in

our conversation last year. Dr. Teeny said the one dose a couple times per year

prior to dental appointments would not contribute to my building resistance to

the antibiotics. Over the year, I have talked with several local TJR (hips and

knees) patients and they all take one dose about an hour prior to their dental

appointment. Typical dose is 500 mg. All of the people I spoke to said their

OSs have them on this type of permanent antibiotics for dental work. (They all

had different surgeons than I did.)

Very few of us have antibiotics prescribed at a level where developing

resistance to them is an issue. Someone would have to be on daily antibiotics

for some time for this to be of concern. There would have to be extenuating

circumstances for antibiotics to be prescribed at such a level.

I happen to have a history of cellulitis in my left leg (five bouts in 26

years). When I develop cellulitis, I end up on " the big boys " as my infection

specialist calls them (Vankomycin or Daptomycin). They're administered by IV,

and I have a hep-lock in my arm for the duration of time I'm on it. At some

point in the future, I may have to be on routine oral antibiotics as a

preventative measure for cellulitis. I want to make the point though, that if I

eventually end up on daily antibiotics, it's part of the cellulitis prevention

protocol for me, and not a dental work issue. An underlying concern in either

case (cellulitis prevention vs. dental work) of course, is that I have two

artificial joints and need to be concerned about the potential of deveoping an

infection and getting into my bloodstream and affecting my joints.

LTKR 7/16/09

RTKR 7/20/10

Teeny, OS, Tacoma, WA

> queried the situation. The dentist told me that the general consensus,

> now, is that it is more problematic to give antibiotics than not to:

> problems with people's reactions to them, and the matter of giving the

> bugs too much opportunity to develop resistance to the drugs. The

> dentist went on to say that with fillings, and clean/polish, there will

> be no more bacteria (and possibly less) entering the blood stream than

> when cleaning your own teeth (sounds logical), and the automatic giving

> of antibiotics was just a precautionary measure anyway - now believed to

> be a total 'overkill'. Further, she said that they would only consider

> giving antibiotics in the case of an extraction, but even then they

> would contact the OS to see if he felt it was really necessary.

>

> It seems that they don't want to give AB at all unless they really have to.

>

[Guest guest]

I just reread my post, and I need to correct one thing. It should of bee four

(4) 500 mg for a total of 200 mg. not just 500 mg

Sorry for the mistype.

>

> My OS and also my dentist want me to take 5,000 mg of my antibiotic one hour

prior to any dental procedure. It's four 500 mg pills.

>

>

> RTKR - 9/16/09

> OS: Coon, St. Helena, CA

> Re: replacement - now antibiotics after

dental work . . .

>

>

> Hi,

> I had bilateral TKR done 7/09.

> At my dental appointment prior to surgery, I told my dentist I was scheduled

for my TKR in a couple months. When I left that day, she gave me a prescription

for antibiotics for my next appointment, since I would have my new knees by

then.

> My next appointment was in November of '09, I forgot to get the prescription

filled, and my dentist wouldn't allow me to have my appointment (cleaning,

polishing, x-rays). She also wanted, in writing, how long post-surgery my

surgeon wanted me on antibiotics. Dr. K. said typically it's 2-3 years, so was

surprized my OS indicated he wanted me on prophylatic antibiotics permanently.

>

> A topic was mentioned that is interesting to me. The concern was that joint

replacement patients develop a resistance to the " front-line " antibiotics

prescribed us for dental work (Keflex, etc.) Over the course of getting the

dental work antibiotics issue taken care of, I found out from my OS that

permanent antibiotics for any dental work for joint replacement patients is

routine. The issue of developing resistance to the antibiotics did come up in

our conversation last year. Dr. Teeny said the one dose a couple times per year

prior to dental appointments would not contribute to my building resistance to

the antibiotics. Over the year, I have talked with several local TJR (hips and

knees) patients and they all take one dose about an hour prior to their dental

appointment. Typical dose is 500 mg. All of the people I spoke to said their

OSs have them on this type of permanent antibiotics for dental work. (They all

had different surgeons than I did.)

> Very few of us have antibiotics prescribed at a level where developing

resistance to them is an issue. Someone would have to be on daily antibiotics

for some time for this to be of concern. There would have to be extenuating

circumstances for antibiotics to be prescribed at such a level.

> I happen to have a history of cellulitis in my left leg (five bouts in 26

years). When I develop cellulitis, I end up on " the big boys " as my infection

specialist calls them (Vankomycin or Daptomycin). They're administered by IV,

and I have a hep-lock in my arm for the duration of time I'm on it. At some

point in the future, I may have to be on routine oral antibiotics as a

preventative measure for cellulitis. I want to make the point though, that if I

eventually end up on daily antibiotics, it's part of the cellulitis prevention

protocol for me, and not a dental work issue. An underlying concern in either

case (cellulitis prevention vs. dental work) of course, is that I have two

artificial joints and need to be concerned about the potential of deveoping an

infection and getting into my bloodstream and affecting my joints.

>

>

> LTKR 7/16/09

> RTKR 7/20/10

> Teeny, OS, Tacoma, WA

>

>

> > queried the situation. The dentist told me that the general consensus,

> > now, is that it is more problematic to give antibiotics than not to:

> > problems with people's reactions to them, and the matter of giving the

> > bugs too much opportunity to develop resistance to the drugs. The

> > dentist went on to say that with fillings, and clean/polish, there will

> > be no more bacteria (and possibly less) entering the blood stream than

> > when cleaning your own teeth (sounds logical), and the automatic giving

> > of antibiotics was just a precautionary measure anyway - now believed to

> > be a total 'overkill'. Further, she said that they would only consider

> > giving antibiotics in the case of an extraction, but even then they

> > would contact the OS to see if he felt it was really necessary.

> >

> > It seems that they don't want to give AB at all unless they really have

to.

> >

>

>

>

> ------------------------------------

>

>

[Guest guest]

ROFLMAO! No wonder my husband worries about me!

Some days I just can't get my fingers to type right!

> > LOL! I goofed, too! It's 4,000 mg, not 5,000 mg. Can't multiply, I guess.

Duh...

> >

> >

>

> > I just reread my post, and I need to correct one thing. It should of bee

four (4) 500 mg for a total of 200 mg. not just 500 mg

> > Sorry for the mistype.

> >

> >

> >

>

> If you two are not carful, you're going to end up overdosing - might be

> safer if you just don't take any at all!!! (only kidding! ;^) )

>

> Mick.

>

> --

> *****************************************************

> 'Be not forgetful to entertain strangers; for thereby

> some have entertained angels unawares!'

> *****************************************************

>

[Guest guest]

Okay, now I am totally confused. Just how many mg should be taken before dental

work? Four 500mg would equal 2000mg. Is that the right amount or is it 4000 or

5000mg? Also, what antibiotic is commonly used? Just got a card today from my

dentist saying it is time for cleaning and checkup.

Judy McG

> >

> > My OS and also my dentist want me to take 5,000 mg of my antibiotic one

> > hour prior to any dental procedure. It's four 500 mg pills.

> >

> >

> > RTKR - 9/16/09

> > OS: Coon, St. Helena, CA

> > Re: replacement - now antibiotics

> > after dental work . . .

> >

> >

> > Hi,

> > I had bilateral TKR done 7/09.

> > At my dental appointment prior to surgery, I told my dentist I was

> > scheduled for my TKR in a couple months. When I left that day, she gave

> > me a prescription for antibiotics for my next appointment, since I would

> > have my new knees by then.

> > My next appointment was in November of '09, I forgot to get the

> > prescription filled, and my dentist wouldn't allow me to have my

> > appointment (cleaning, polishing, x-rays). She also wanted, in writing,

> > how long post-surgery my surgeon wanted me on antibiotics. Dr. K. said

> > typically it's 2-3 years, so was surprized my OS indicated he wanted me on

> > prophylatic antibiotics permanently.

> >

> > A topic was mentioned that is interesting to me. The concern was that

> > joint replacement patients develop a resistance to the " front-line "

> > antibiotics prescribed us for dental work (Keflex, etc.) Over the course

> > of getting the dental work antibiotics issue taken care of, I found out

> > from my OS that permanent antibiotics for any dental work for joint

> > replacement patients is routine. The issue of developing resistance to

> > the antibiotics did come up in our conversation last year. Dr. Teeny said

> > the one dose a couple times per year prior to dental appointments would

> > not contribute to my building resistance to the antibiotics. Over the

> > year, I have talked with several local TJR (hips and knees) patients and

> > they all take one dose about an hour prior to their dental appointment.

> > Typical dose is 500 mg. All of the people I spoke to said their OSs have

> > them on this type of permanent antibiotics for dental work. (They all had

> > different surgeons than I did.)

> > Very few of us have antibiotics prescribed at a level where developing

> > resistance to them is an issue. Someone would have to be on daily

> > antibiotics for some time for this to be of concern. There would have to

> > be extenuating circumstances for antibiotics to be prescribed at such a

> > level.

> > I happen to have a history of cellulitis in my left leg (five bouts in

> > 26 years). When I develop cellulitis, I end up on " the big boys " as my

> > infection specialist calls them (Vankomycin or Daptomycin). They're

> > administered by IV, and I have a hep-lock in my arm for the duration of

> > time I'm on it. At some point in the future, I may have to be on routine

> > oral antibiotics as a preventative measure for cellulitis. I want to make

> > the point though, that if I eventually end up on daily antibiotics, it's

> > part of the cellulitis prevention protocol for me, and not a dental work

> > issue. An underlying concern in either case (cellulitis prevention vs.

> > dental work) of course, is that I have two artificial joints and need to

> > be concerned about the potential of deveoping an infection and getting

> > into my bloodstream and affecting my joints.

> >

> >

> > LTKR 7/16/09

> > RTKR 7/20/10

> > Teeny, OS, Tacoma, WA

> >

> >

> > > queried the situation. The dentist told me that the general consensus,

> > > now, is that it is more problematic to give antibiotics than not to:

> > > problems with people's reactions to them, and the matter of giving the

> > > bugs too much opportunity to develop resistance to the drugs. The

> > > dentist went on to say that with fillings, and clean/polish, there

> > will

> > > be no more bacteria (and possibly less) entering the blood stream than

> > > when cleaning your own teeth (sounds logical), and the automatic

> > giving

> > > of antibiotics was just a precautionary measure anyway - now believed

> > to

> > > be a total 'overkill'. Further, she said that they would only consider

> > > giving antibiotics in the case of an extraction, but even then they

> > > would contact the OS to see if he felt it was really necessary.

> > >

> > > It seems that they don't want to give AB at all unless they really

> > have to.

> > >

> >

> >

> >

> > ------------------------------------

> >

> >