Hygiene Edge 1/31/15 Hygiene Edge 1/31/15

Joint Pre-Medication Update from JADA

We are no longer required to pre-medicate for joint replacements. If your patients request this, refer them to their orthopedic surgeon for any pre-medication prescriptions, questions or concerns. Here is a quote from the conclusion in the recent article in JADA.

"using antibiotics before dental procedures is not recommended to prevent Prostetic Joint Infections"

View the article in the link below
http://jada.ada.org/article/S0002-8177(14)00016-6/fulltext

Hygiene Edge 1/9/15 Hygiene Edge 1/9/15

Mandibular Cross Innervation-What Should I Do?

We have all been there before, as you approach #24/25 you are bracing yourself for the potential patient "jolt" as they experience pain from cross-innervation from the opposite quadrant.

We have all been there before, as you approach #24/25 you are bracing yourself for the potential patient "jolt" as they experience pain from cross-innervation from the opposite quadrant. About 30% of the time I see this in practice so it is good to have a clear understanding of your options in this case. The video below gives a suggestion on how to deal with this situation. Other options are to hand instrument the area (instead of using the ultrasonic,) give a PDL injection, give a papillary injection or as a last resort give an IA in the opposite quadrant.