An ongoing dialogue on HIV/AIDS, infectious diseases,
March 30th, 2012
Our Obsession with Dental Antibiotic Prophylaxis and an E-mail from Mom
The topics we cover are mostly family stuff, and food — she’s a food writer, after all, so it might be a recipe worth trying or a recent restaurant find.
But yesterday it was this:
I went to have my teeth cleaned today and they wouldn’t do it unless I took an antibiotic because of the plate in my ankle. They gave it to me, I waited 25 minutes, and then had my teeth cleaned. Was that necessary?
Where do I begin? I considered responding with a terse, “Nope” — but what’s the fun in that? Plus, even though she never went to medical school, she seems to get medical concepts better than most MDs.
It’s broadly misconceived by dentists and orthopedists alike that the risk of antibiotics is lower than the risk of “seeding” an artificial joint or plate by the dental work.
But that doesn’t stop them. And it’s because surgeons are much more worried about passive errors (not doing something) than they are about harming someone with an active error (medication side effect).
They’re surgeons, after all. Maddening.