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Re: [OM] Knesss, was IMG: Friday Flower from Jim N.

Subject: Re: [OM] Knesss, was IMG: Friday Flower from Jim N.
From: "Jez Cunningham" <jez.cunningham@xxxxxxxxx>
Date: Tue, 24 Nov 2009 20:09:30 +0000
Agreed, I got the recommendation from my cardiac surgeon, told my dentist, and 
he concurred,
BR
Jez

Sent from my Nokia phone
-----Original Message-----
From: usher99@xxxxxxx
Sent:  24/11/2009 19:23:12
Subject:  [OM] Knesss, was IMG: Friday Flower from Jim N.

Hmmm,

AHA guidelines say data does NOT support  routine use of Ant 
prophylaxis in pts with stents.  (pg 1749) After a bit they are 
completely  endothelializied.
Now other concurrent cardiac  conditions could change that.  Would 
check with the cardiologist and not necessarily the dentist.
I see some odd recommendations regarding oral bisphosphonates and 
scaring patients with a high risk of fracture from taking them from
a very remote (if present) risk of jaw issues.

Use of ATB with dental procedures in patients with prosthetic joints is 
contentious. Not clearly beneficial, but an infected joint is such a 
horrible disaster,  (there are some case reports) probably not too many 
orthopedic surgeons wouldn't use it.
That be said ATB pre-Rx was massively overused for years w/o good data 
and likely  resulted in much more harm than good.

Mike

http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.106.183095
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