Joint Replacement

Joints are formed by the ends of two or more bones connected by tissue called cartilage. Healthy cartilage serves as a protective cushion, allowing smooth and low-friction movement of the joint. If the cartilage becomes damaged by disease or injury, the tissues around the joint become inflamed, causing pain. With time, the cartilage wears away, allowing the rough edges of bone to rub against each other, causing more pain.

When only some of the joint is damaged, a surgeon may be able to repair or replace just the damaged parts. When the entire joint is damaged, a total joint replacement is done. To replace a total joint, a surgeon removes the diseased or damaged parts and inserts artificial parts, called prostheses or implants.

Antibiotics for Joint Replacement Patients

Dental Protocol for Dr. Bavaro

The American Academy of Orthopaedic Surgeons (AAOS) has stated that patients and physicians may consider antibiotic prophylaxis prior to dental procedures after total joint replacement to minimize the risk of infection. In addition, patients should postpone any elective dental work, including dental cleanings, for 6 months after a joint replacement surgery, if possible, to minimize the risk of your new joint replacement becoming infected.

After Joint Replacements

Before dental procedures DR. BAVARO recommends:

  • Amoxicillin 2 grams a half hour before the procedure.
  • If you are allergic to penicillin, then DR. BAVARO recommends:
    • Clindamycin 600 MG one hour before the procedure.
    • Your dentist, oral surgeon or Dr. Hochfelder can prescribe the antibiotic.

Protocol for Dr. Bavaro

The AAOS also recommends considering antibiotic prophylaxis prior to orthopaedic, vascular, gastrointestinal (GI), head and neck, obstetric and gynecologic (Ob/Gyn), genitourinary (GU) or any invasive procedures after total joint replacement as well. In addition, patients should postpone any other surgery for 6 months after a joint replacement surgery, if possible, to minimize the risk of your new joint replacement becoming infected.

Please discuss this with your other surgeons and do not hesitate to call DR. BAVARO with any questions.