Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 It seems this question of hip joint infection following resurfacing needs more understanding . In my case the dentist called last Monday reminding me of my 9 month apt for tooth descaling . I discussed the situation as far as having antibiotics prior to going to the dentist. I was informed that anytime a dentist preforms a procedure that requires drawing blood that the hip patient should have antibiotics one hour before the dental work is done . As it turned out I cancelled the appointment telling the dentist I felt I'd had enough medication recently (Left,BHR,Mar3,04. Dr.DeSmet) and would like to leave it for about 6 months+- since this work was not of a pressing nature . Several questions come to mind 1/ There seems to be a more than average danger of infection when dental work is done . Right? Wrong? 2/ Is the protocol descibed by my dentist re antibiotics the generally accepted one ? 3/ Is it moreso dental work that encourages this infection or do we need to be careful anytime we get any knd of a cut ,abbrasion etc ? If so should we be getting antibiotics if we do have an injury that involves blood ? This isn't to produce a mass paranoia regarding this but some clear- cut guidelines would be helpful Fred. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Hi Fred here is one part of the story that I know: 1- my dentist has the same protocol as what you describe 2- after surgery I developed an anal tear (which is a cut in in the anus!) and was worried about the risk of infection especially in this area! but my surgeon (De Smet) said that for this I did not need antibiotics. So I am inferring from this that it is not any little cut in our body that will be a problem. Sunita RBHR January 6,2004 De Smet Infection ! It seems this question of hip joint infection following resurfacing needs more understanding . In my case the dentist called last Monday reminding me of my 9 month apt for tooth descaling . I discussed the situation as far as having antibiotics prior to going to the dentist. I was informed that anytime a dentist preforms a procedure that requires drawing blood that the hip patient should have antibiotics one hour before the dental work is done . As it turned out I cancelled the appointment telling the dentist I felt I'd had enough medication recently (Left,BHR,Mar3,04. Dr.DeSmet) and would like to leave it for about 6 months+- since this work was not of a pressing nature . Several questions come to mind 1/ There seems to be a more than average danger of infection when dental work is done . Right? Wrong? 2/ Is the protocol descibed by my dentist re antibiotics the generally accepted one ? 3/ Is it moreso dental work that encourages this infection or do we need to be careful anytime we get any knd of a cut ,abbrasion etc ? If so should we be getting antibiotics if we do have an injury that involves blood ? This isn't to produce a mass paranoia regarding this but some clear- cut guidelines would be helpful Fred. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 I certainly wouldn't put off a cleaning for SIX months!!!! Do you not understand the reason for the pre-medication???? There is so much bacteria in the mouth. Much of it pathogenic. If you allow it to increase by forgoing a cleaning chances are your gums will become inflamed. When gums are infected they BLEED with flossing. Then- every time you floss you are introducing bacteria into the bloodstream which in turn could cause infection of your lovely new hip. PLEASE HIPPIES- TAKE CARE OF YOUR ORAL HYGIENE!! Sorry to SHOUT at you. But do not put yourself at risk. The pre-med is no big deal as far as meds go. Also minor bleeding cuts and scratches are fine- no pre-med-. Just wash them. But the mouth- the mouth is a different story. It is a CESSPOOL of bacteria! Rock climbin' Jude LBHR De Smet 09/11/02 PS Call your DDS right back and REAPPOINT!!!! Infection ! It seems this question of hip joint infection following resurfacing needs more understanding . In my case the dentist called last Monday reminding me of my 9 month apt for tooth descaling . I discussed the situation as far as having antibiotics prior to going to the dentist. I was informed that anytime a dentist preforms a procedure that requires drawing blood that the hip patient should have antibiotics one hour before the dental work is done . As it turned out I cancelled the appointment telling the dentist I felt I'd had enough medication recently (Left,BHR,Mar3,04. Dr.DeSmet) and would like to leave it for about 6 months+- since this work was not of a pressing nature . Several questions come to mind 1/ There seems to be a more than average danger of infection when dental work is done . Right? Wrong? 2/ Is the protocol descibed by my dentist re antibiotics the generally accepted one ? 3/ Is it moreso dental work that encourages this infection or do we need to be careful anytime we get any knd of a cut ,abbrasion etc ? If so should we be getting antibiotics if we do have an injury that involves blood ? This isn't to produce a mass paranoia regarding this but some clear- cut guidelines would be helpful Fred. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Hi Fred, Until recently we had a dentist posting here who had had a Resurface and he laid it all out in an email which you will find in the archives. There is a fair bit of evidence about the problems of infections entering the body via the mouth because it has been studied in connection to heart valves, by pass prothesis etc. It all depends on how you wish to view the risks. I have a friend who has 2 THR's for over 10 years he has regularly gone off to a dentist and noone has ever suggested antibotics. He operates a trucking business and puts his hips under a good deal of pressure but has had no hassles to date. My dentist on the other hand refused to do more than look in my mouth without me loaded up with antibotics and when we contacted my OS he agreed it was pretty wise in my case............i.e. I had an early history of osteomylitis so had a higher risk............. My dentist simply said he had watched me suffer for years without my hip and he wasn't about to be the catalyst of me losing it............ I am forever scratching/cutting myself on the rest of my body but I don't regard this as risky........... I just keep an eye on these cuts and get them healed as soon as possible.......... I also think that it is important to simply keep the body healthy so it can fight invading infections naturally. Edith LBHR Dr. L Walter Syd Aust 8/02 > > It seems this question of hip joint infection following resurfacing > needs more understanding . In my case the dentist called last Monday > reminding me of my 9 month apt for tooth descaling . I discussed the > situation as far as having antibiotics prior to going to the dentist. > I was informed that anytime a dentist preforms a procedure that > requires drawing blood that the hip patient should have antibiotics > one hour before the dental work is done . As it turned out I > cancelled the appointment telling the dentist I felt I'd had enough > medication recently (Left,BHR,Mar3,04. Dr.DeSmet) and would like to > leave it for about 6 months+- since this work was not of a pressing > nature . > Several questions come to mind > 1/ There seems to be a more than average danger of infection when > dental work is done . Right? Wrong? > 2/ Is the protocol descibed by my dentist re antibiotics the > generally accepted one ? > 3/ Is it moreso dental work that encourages this infection or do we > need to be careful anytime we get any knd of a cut ,abbrasion etc ? > If so should we be getting antibiotics if we do have an injury that > involves blood ? > This isn't to produce a mass paranoia regarding this but some clear- > cut guidelines would be helpful > Fred. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Fred, There is a danger with any infection for a person who has had joint surgery. Dental treatment where blood is drawn requires a short course of antibiotics. The consequence of not taking care is that you may have to have the joint removed . The OS would pack the area with muscle and it would be several months before the joint could be replaced. The risk of dental treatment is relatively low I.E. not many patients who have dental treatment go on to get a joint infection. However I know wouldn't risk the possibility of requiring my metalwork being removed. As a percentage more infections come from dental work than anywhere else. There are no clear cut guidelines - just common sense - i.e anti septic cream and plasters on cuts for example. Antibiotics to be used for dental surgery and infections generally. The general risks are not great but the remedy if an infection goes too far is not pleasant. I repeat - this is true for all joint surgery, not just resurfacing Rog both hips BHR Ronan Treacy 2001 Infection ! > > It seems this question of hip joint infection following resurfacing > needs more understanding . In my case the dentist called last Monday > reminding me of my 9 month apt for tooth descaling . I discussed the > situation as far as having antibiotics prior to going to the dentist. > I was informed that anytime a dentist preforms a procedure that > requires drawing blood that the hip patient should have antibiotics > one hour before the dental work is done . As it turned out I > cancelled the appointment telling the dentist I felt I'd had enough > medication recently (Left,BHR,Mar3,04. Dr.DeSmet) and would like to > leave it for about 6 months+- since this work was not of a pressing > nature . > Several questions come to mind > 1/ There seems to be a more than average danger of infection when > dental work is done . Right? Wrong? > 2/ Is the protocol descibed by my dentist re antibiotics the > generally accepted one ? > 3/ Is it moreso dental work that encourages this infection or do we > need to be careful anytime we get any knd of a cut ,abbrasion etc ? > If so should we be getting antibiotics if we do have an injury that > involves blood ? > This isn't to produce a mass paranoia regarding this but some clear- > cut guidelines would be helpful > Fred. > > > > > > > Quote Link to comment Share on other sites More sharing options...
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