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ANTIBIOTICS

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I went with my mother to Derby Royal Infirmary for her check up with her OS on

her knee. The OS Mr Wilton does not do resurfacing but one of his colleagues

does.

I asked him about dentistry and the use of antibiotics.

He kindly took time to tell me his view which is that they should be taken. He

quoted that there are mainly about 5 bacteria that live in the mouth and about

25 that live on the skin that can cause problems with a resurf/THR. He said of

three dental procedures a clean up is the lowest risk and although antibiotics

should be taken it is not as nearly important as drilling or the very worst case

which is the treatment of an abscess.

Mr Wilton stated an infection is rare and people should not unduly worry. He

pointed out that the conversation was his views as all Surgeons differed. He

commented that a lot of OS's in the USA didn't advise on the use of antibiotics

because of side issues. His view was that antibiotics should be taken for life

- not just short term - but everyone should consider the advice of their own OS.

He said with a smile that the views of OS's vary as much as do Dentists on this

subject - the patients Dentist may have the totally opposite opinion to their OS

which is not helpful to the patient.

He spoke at some length and this is just a précis of his view which I thought

may be of some use.

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