May 31, 2021
On this week’s episode of Fast Facts - Perio Edition your host, Katrina Sanders, RDH talks to us about premedication guidelines as they relate to the medically compromised patient.
“It is worth it to note that some patients, for example, beyond artificial joint replacement, may also require premedication.”
“JADA notated in their 2017 article that patients that are medically compromised or present with immunocompromising diseases may in fact require premedication, particularly if they have a prosthetic joint.”
“Additionally, the National Institute of Dental and Craniofacial Research recommends that in patients receiving chemotherapy in which there is a central venous catheter, that consultation should be performed with the treating oncologist about the need for antibiotic prophylaxis prior to proceeding with any dental procedures.”
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Rethman MP, Watters W, 3rd, Abt E, et al. The American Academy of Orthopaedic Surgeons and the American Dental Association clinical practice guideline on the prevention of orthopaedic implant infection in patients undergoing dental procedures. J Bone Joint Surg Am 2013;95(8):745-7.
Stoopler ET, Sia YW, Kuperstein AS. Do patients with solid organ transplants or breast implants require antibiotic prophylaxis before dental treatment? J Can Dent Assoc 2012;78:c5.
Holland B, Kohler T. Minimizing Penile Implant Infection: A Literature Review of Patient and Surgical Factors. Curr Urol Rep 2015;16(12):81.
National Institute of Dental and Craniofacial Research. Dental Provider's Oncology Pocket Guide. Department of Health and Human Services 2009. Accessed February 21, 2019.