As many of our patients that have had joint replacements are aware, to protect the integrity and health of that hardware, a loading dose of antibiotics is prescribed before having dental procedures done. Due to the increased prevalence of antibiotic-resistant bacteria, this practice of pre-medicating has come under scrutiny. The regiment is not consistent across all orthopedic surgeons. For this reason, dentists are phasing out prescribing an antibiotic to patients that have prosthetic joints. Instead, patients are advised to seek the advice of the orthopedic surgeon who placed the prosthetic joint. Please follow this link for further information about antibiotic stewardship.