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The Antibiotic Myth in Joint Replacement

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Despite decades of routine premedication for patients with hip and knee implants, current evidence shows no meaningful reduction in periprosthetic joint infection risk for most dental procedures.

AGD Subject Code: 490

EDUCATIONAL OBJECTIVES

After reading this course, the participant should be able to:

  1. Discuss current literature and expert recommendations on indications for antibiotic prophylaxis.
  2. Identify optimal timing of dental procedures in relation to total hip and knee arthroplasty.
  3. Explain clinical scenarios in which either delay or prophylaxis may be warranted.

This course was published in the September/October 2026 issue and expires October 2029. The authors have no commercial conflicts of interest to disclose. This 2 credit hour self-study activity is electronically mediated.

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Belmont Business Media is an ADA CERP-recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ada.org/cerp. Belmont Business Media Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. 7/1/2023 to 6/30/2026. Provider ID 317924
3621 Harbor Blvd., Suite 265, Santa Ana, CA 92704

Sorin Boeriu, DDS, MsD, PhD, Dip Perio, FRCD(C), maintains a private practice limited to implant and periodontal surgery in Kitchener, Ontario, Canada. He has published articles on implant dentistry, soft tissue grafting, and periodontal/restorative treatment of carious and noncarious cervical lesions and presented numerous lectures. Furthermore, Boeriu is the author of two textbooks: Periodontics in the Tradition of Bissada and Clinical Periodontology and Implant Surgery.


Timothy L. Hottel, DDS, MS, DBA, FACD, is a clinical professor at the College of Dental Medicine, Case Western Reserve University in Cleveland. Previously, he served in a variety of key positions — including dean and director of Statewide Oral Health Initiatives — at the University of Tennessee College of Dentistry. With more than 100 published articles, Hottel is also coauthor of the textbook Dentistry for the Restorative Expanded Function Dental Auxiliary. A member of Decisions in Dentistry’s Peer Review Panel, he can be reached at: tlhottel@gmail.com.


Adam E. Saltz, DMD, MS, MPH, is the managing editor of Decisions in Dentistry. A practicing periodontist in the South Portland, Maine area, he is a Diplomate of the American Board of Periodontology. Saltz focuses on minimally invasive surgery, perioprosthetics, and digitized implant workflows to deliver the highest quality interdisciplinary care. He is past president of the Maine Dental Association and vice chair of the American Dental Association’s New Dentist Committee. Saltz can be reached at asaltz@belmontbusinessmedia.com.


Cristian Chirla, DDS, FMII, is in private practice in Akron, Ohio, and is a fellow of the Midwest Implant Institute.


Phillip Chirla, DMD, is in private practice in Akron, Ohio


Teodora Boeriu, BS, is a medical student at St. George University in Grenada, West Indies.


Stefan A. Hottel, BS, is a dental student at the Lincoln Memorial University College of Dental Medicine in Knoxville, Tennessee.


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