Management of dental patients with prosthetic joints
Article Abstract:
When certain dental treatments are performed, particularly surgical procedures, bacteria from the mouth temporarily appear in large amounts in the blood stream. This condition (bacteremia) is transient and poses no threat to most patients but, in susceptible individuals, it can lead to an infection of the membrane lining the heart (endocarditis). People with specific abnormalities of the heart and blood vessels and those with prosthetic (artificial) heart valves are at risk for endocarditis following dental procedures; to prevent this, antibiotics are routinely given before dental examinations and treatments. Since 1955 the American Heart Association has presented and updated guidelines for dentists regarding antibiotic prophylaxis for patients at high risk for endocarditis, and the American Dental Association has endorsed these guidelines. In this report by the American Dental Association, the possible need for antibiotic prophylaxis in patients with artificial joints is discussed. It is plausible that prosthetic joints, such as artificial hips or knees, could become infected if bacteria were carried to these sites from the mouth via the blood stream. However, no such cases have been documented, and no national medical or dental association has stated that it supports antibiotic prophylaxis for patients with prosthetic joints. Yet most orthopedic surgeons (who perform joint surgery) do recommend antibiotic prophylaxis for patients when they obtain dental care. In November 1987, a workshop was held to discuss the management of dental patients with prosthetic joints; the participants were dentists, and physicians specializing in orthopedics and infectious diseases. While some of the eight experts were in favor of antibiotic prophylaxis for patients with artificial joints, the group concluded that there was insufficient scientific evidence to support this practice. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1990
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An update on radiographic practices: information and recommendations
Article Abstract:
This report discusses the use of x-rays in dentistry, types of equipment and film, techniques of use, and protective collars and aprons lined with lead. It also covers accessory equipment, film processing, prevention of spread of infections, and analysis of the photographs. It mentions digital radiography and charged-couple devices, which instantly put an image on a computer screen.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2001
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The radiographic outcomes of direct pulp-capping procedures performed by dental students
Article Abstract:
The success rates of direct pulp-capping and root canal therapy, based on radiographic outcomes, are analyzed.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2006
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