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Management of Patients with Prosthetic Joints Undergoing Dental Procedures Clinical Practice Guideline (2014)

In 2014, the ADA Council on Scientific Affairs assembled an expert panel to update and clarify the clinical recommendations found in the 2012 evidence-based guideline for the use of antibiotic prophylaxis on preventing orthopaedic implant infection in patients undergoing dental procedures.

As was found in 2012, the 2014 updated systematic review found no association between dental procedures and prosthetic joint infections. Based on this review, the 2014 Panel concluded that prophylactic antibiotics given prior to dental procedures are not recommended for patients with prosthetic joint implants.

The ADA encourages dental professionals to review the full 2014 guideline and take this recommendation into account, consult with the patient’s orthopedic surgeon as needed and consider the patient’s specific needs and preferences when planning treatment.

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