Antibiotic Prophylaxis for Patients with Artificial Joints

[removed][removed] A consensus statement (2016) based on Evidence Based Medicine and  issued jointly by the Canadian Orthopedic Association, the Canadian Dental Association and the Association of Medical Microbiology and Infection concludes that generally antibiotic coverage for routine dentistry is not scientifically supported in these cases. This includes patients with orthopedic joints, pins, plates and screws. Exceptions to prophylactic use of antibiotics may be in using a single preoperative loading dose prior to surgery involving impacted molars, reducing implant and bone graft failure and in chemotherapeutic induced neutropenia and in patients with prosthetic heart valves. Note that the majority of joint infections are due to staphylococci and not bacteria of oral origin.