Subsequent Dental & Surgical Procedures | Youngstown Orthopaedic Associates

Subsequent Dental & Surgical Procedures

What kind of antibiotics are recommended?

If you do not have a severe allergy to penicillin: 2 grams of amoxicillin, cephalexin, or cephadrine should be taken 30-60 minutes prior to the procedure. If you have a severe penicillin allergy: 600 mg of Clindamycin may be used 60 minutes prior to procedure. *Please contact the office if you have questions.

You should get preventive antibiotics for the following dental procedures:

  • Regular cleaning of teeth where bleeding is anticipated
  • Dental Extractions
  • Periodontal (Gum) procedures
  • Root Canal Surgery
  • Dental Implant Placement
  • Initial Placement of Orthodontic Bands (Not brackets)
  • Injection of local anesthetic into the gums near the jaw

You should get preventive antibiotics for the following surgical procedures:

  • Gastrointestinal Procedures (colonoscopy, EGD, bowel surgery)
  • Genitourinary Procedures (catheterization, urethral instrumentation)
  • Dermatologic Procedures (any procedure violating the integrity of your skin)
  • Gynecologic Procedures (any invasive procedure that may cause bleeding)

The current absolute indications for antibiotic prophylaxis include all those with:

  • A joint replacement less than 2 years ago
  • History of infection in previous joint replacement
  • Inflammatory Arthritis (e.g. Rheumatoid arthritis, Lupus, Psoriatic arthritis, etc.)
  • An immune system weakened by chemotherapy, disease, or radiation
  • Type I (insulin dependent) Diabetes
  • Hemophilia
  • Poor Nutrition
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