Why Dental Clearance is Crucial Before Knee or Hip Surgery
Posted By: Dr. Ashima Ahuja | Published On: August 1st 2024
As people enjoy longer, more active lives, knee and hip replacements have become more common. Although these surgeries are routine, they come with risks, particularly the risk of bacterial infections.
Understanding Infection Risks
Infections after surgery can cause pain, redness, swelling, drainage, joint stiffness, night sweats, and fatigue. Such infections might lead to severe complications, including the failure of the joint replacement, reduced mobility, additional surgeries, or even limb amputation, as highlighted by the American Academy of Orthopedic Surgeons.
Reducing the Risk of Infection
With around 1 million joint replacements performed annually in the U.S., ensuring a smooth recovery is essential. While most surgeries provide significant relief and a quick return to daily activities, about 1% of patients may develop deep infections. These infections can occur during surgery, through the incision as it heals, or from existing bacteria traveling to the surgical site.
The Importance of Dental Clearance
Increasingly, surgeons are requiring patients to obtain a dental clearance before undergoing joint replacement surgeries. This precaution helps reduce the risk of infections, particularly since bacteria from dental issues like gum disease (periodontitis) can spread to the surgical area. Nearly half of U.S. adults have some form of periodontal disease, often without noticeable symptoms. A comprehensive dental examination is crucial to ensure your mouth is free of harmful bacteria.
What to Expect from a Dental Check-Up
The American Dental Association (ADA) recommends getting a dental exam and clearance before any elective surgery. If gum disease is detected, treatments may include antibiotics and a non-invasive cleaning to remove tartar and bacteria. While this might delay your surgery slightly, it helps ensure a better outcome and a smoother recovery.
Dental Clearance for Joint Revisions
If you're undergoing a revision procedure for a joint replacement, dental clearance is still important. The same precautions apply to minimize infection risks.
Using Antibiotics: Before and After Surgery
You might be prescribed antibiotics before surgery to clear existing bacteria or during your recovery. Additionally, you may need antibiotics before certain dental procedures in the future to prevent infections in your artificial joint. Always follow your doctor’s and dentist’s recommendations.
The Broader Impact of Periodontal Disease
Periodontal disease affects more than just your teeth and gums. Bacteria can enter your bloodstream and impact various body systems, linking to serious conditions like:
Heart disease
High blood pressure
Stroke
Diabetes
Certain cancers
Lung and kidney diseases
An infection can also weaken your immune system, making you more susceptible to other illnesses.
Maintaining Good Oral Health
Preventing dental problems before they become serious is key. Good oral hygiene—regular brushing, flossing, and dental check-ups—can help avoid complications and related health issues.
Smile Daily Dentistry: Here for Your Health
At Smile Daily Dentistry, we care deeply about your overall health and recovery. Getting a dental clearance before your joint replacement surgery can make a significant difference in your outcome. To ensure you’re in the best shape for your procedure, contact us today.
To schedule an appointment, call Smile Daily Dentistry at 703-734-4440.
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