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Old 04-12-2019, 04:57 PM   #1  
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Dental work after breast implants?


So, Iím reading a lot of conflicting stuff on dental work after implants? Is it safe? Iím just worried because I donít have the greatest teeth (I had braces, have yearly cleanings, and like try my best to keep them clean) but I had like a couple root canals due to a traumatic injury to my teeth wen I was young.

All the dentists have told me that I may need more root canals in the future or more crowns in the future because you just never know what type of issues may pop up especially with a tooth that suffered traumatic injuries.

So, say if like 5-10 years down the road I develop an infection in my teeth, will I be risking my implants?
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Old 04-12-2019, 05:20 PM   #2  
 
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The latest research and recommendations say there is no value in antibiotics prior to dental work. There are still doctors and dentists that say you should though so you almost have to make your own decision. My PS and dentist agree that NO antibiotics are necessary. Iíve had several root canals and never had an issue. Iím also very anti- antibiotics just for the sake of taking them. The US overprescribes antibiotics like crazy. At the end of the day make your own decision.
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Old 04-12-2019, 06:31 PM   #3  
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Quote:
Originally Posted by Linaki View Post
The latest research and recommendations say there is no value in antibiotics prior to dental work. There are still doctors and dentists that say you should though so you almost have to make your own decision. My PS and dentist agree that NO antibiotics are necessary. Iíve had several root canals and never had an issue. Iím also very anti- antibiotics just for the sake of taking them. The US overprescribes antibiotics like crazy. At the end of the day make your own decision.
Thatís good to know! Iíll keep this mind. Thanks!
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Old 04-17-2019, 10:55 PM   #4  
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Dentist here...

Itís true that there is a lot of conflicting information about dental work and breast implant complications. The internet can be very informative and also very misleading. There has been more and more research done looking at this topic and there is no evidenced based research to show a link between dental work and implant complications. You will find no shortage of anecdotal info about this but as a clinician, I only find value in evidenced-based, scientific research.

You will find there is a lot of discussion about the use of prophylactic antibiotics before dental treatment if the patient has implants. For regular and routine dental care, like cleanings, fillings, etc~I don't think antibiotics are necessary for healthy women with implants who don't have any other pre-existing conditions. Again, there is only anecdotal information linking dental bacteremia to implant complications like capsular contracture and I cannot find anything in scientific literature/research that has shown a legitimate link between the two. There is much more of a likelihood of bacteria becoming resistant to repeated use of antibiotics~this has been well documented. For dental procedures that result in a lot of bleeding (multiple extractions, deep cleanings, etc), there is more of a chance of bacteremia but there still doesn't exist any evidence-based research to back up dental bacteremia causing problems with breast implants.

Obviously this is only my opinion and I always default to what the surgeon prefers. You could ask 10 different PS and get 10 different answers~so I would advise you to follow your PS advice and if you do have questions about it, have a conversation with him/her about his reasoning.

There are also some great threads on antibiotic prophylaxis and dental work on JBI...lots of good info if you use the search function.
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04-20-2019 06:08 PM
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