Do you need antibiotics before the dentist?
11/20/21 • 13 min
Antibiotics before the dentist is a debate that has gone back and forth for decades between the AAOS and the ADA. Listen in on my take on antibiotic prophylaxis for joint replacement patients.
Antibiotics before the dentist is a debate that has gone back and forth for decades between the AAOS and the ADA. Listen in on my take on antibiotic prophylaxis for joint replacement patients.
Previous Episode
Guidelines for Management of Knee Osteoarthritis
Here is my summary of the AAOS (American Academy of Orthopedic Surgeons) Clinical Practice Guidelines on Management of Osteoarthritis of the Knee (Non-Arthroplasty) 3rd
1. Not Recommended
a. narcotic medication
b. viscosupplements (hyaluronic acid)
c. arthroscopic washout
d. orthotics
e. interposistional devices
2. Should Help
a. oral or topical Nsaids
b. acetaminophen
c. patient education
d. self management / supervised exercise
3. May Help
a. cane
b. brace
c. oral supplements (tumeric, ginger, glucosamine, chondrotin, vit D)
d. weight loss
e. neuromuscular training, manual therapy, massage
f. cortisone injections
g. PRP injections
h. denervation
i. menisectomy if other conservative options have failed
j. osteotomy
you can read the full guidelines here:
https://www.aaos.org/quality/quality-programs/lower-extremity-programs/osteoarthritis-of-the-knee/
Next Episode
Leg Length Discrepancy
Some people are born with a leg length discrepancy. Some have an injury, like a fracture, which can lead to the limb being short or long. Many patients with arthritis will have the leg shorten, even if they are not aware of it. At the time of surgery the goal is to fix the knee or hip and make it stable. Patients may feel long after surgery. For many this resolves in a number of weeks. Some may continue to feel long, especially if they have spine issues. Sometimes to make the hip or knee stable the leg may have to be lengthened on purpose otherwise the knee or hip would be unstable which could lead to problems such as a dislocation
If you like this episode you’ll love
Episode Comments
Generate a badge
Get a badge for your website that links back to this episode
<a href="https://goodpods.com/podcasts/your-knee-your-health-403945/do-you-need-antibiotics-before-the-dentist-56442859"> <img src="https://storage.googleapis.com/goodpods-images-bucket/badges/generic-badge-1.svg" alt="listen to do you need antibiotics before the dentist? on goodpods" style="width: 225px" /> </a>
Copy