Management of medical emergencies in the dental office

Management of Medical Emergencies Antibiotic Prophylaxis

• 06/26/22

• The most crucial period is up to 2 years following a joint replacement
• Prophylaxis not recommended for dental patients with: Pins, Plates, and Screws.
• Prophylaxis is not routinely indicated for most dental patients with total joint replacement

Management of Medical Emergencies Antibiotic Prophylaxis

• 06/26/22

• Patients at potential increased risk of total joint infection
• Immunocompromized/Suppressed patients
• Other Patients:
• Insulin Dependent diabetics
• 1st 2 years following joint replacement
• Previous prosthetic joint infection
• Malnourishement
• Hemophilia

Management of Medical Emergencies Antibiotic Prophylaxis

• 06/26/22

• Procedures and regimens are the same as discussed earlier for SBE prophylaxis.
• A cephlosporin is preferable to Amoxicillin due to its affinity to cynovial fluids