Illustrative dental planning conversation with a patient preparing for joint surgery
General & Family Dentistry

Dental Care Before Joint-Replacement Surgery in Burlington

Heard you’ll need antibiotics for every dental visit once you have a new joint? Usually that isn’t so. From Burlington, book a pre-surgical review that sorts out medicines, symptoms and the paperwork your surgeon wants.

Medicines, myths and your new joint

Will I need antibiotics at the dentist from now on?

It is one of the first things people ask once a hip or knee replacement is scheduled, often because a relative was told years ago to take pills before every cleaning. Current guidance generally does not recommend routine antibiotics before dental care simply because a person has a prosthetic joint. A few medical situations are handled individually, and those decisions belong to your clinicians, not to a leftover bottle in the cupboard.

The antibiotic question is only part of the picture. A pre-surgical visit also looks for active problems in your teeth and gums, because treating an infected tooth is different from taking a preventive dose. It helps to know the type of operation and its date, your medicines and allergies, and what the orthopaedic team has asked of us. Timing an extraction close to surgery is another matter again.

Coming from Burlington, book once the surgery date is known so there is time for any treatment and for messages to travel between offices. Bring the hospital’s request; a general mention of dental clearance does not tell us what they need. We will examine, explain the findings, and share relevant information with your surgical team. A dental review is not a guarantee against infection after surgery.

Ask about dental care before joint surgery
Dental teaching model and appointment folder illustrating coordinated pre-surgical care
Raise these when you call

Pain, paperwork, or a procedure on the books

Let us know the surgery date at booking and anything troubling your teeth or gums. If the hospital changes the date, update us so any planned dental care can be retimed.

Symptoms that are active right now

Pain, swelling or a broken tooth should be assessed before surgery rather than pushed into recovery. Describe how it started and how strong it is. The dentist can diagnose and discuss treatment, while the surgical team decides what it means for them.

Instructions or forms from the surgeon

Bring the paperwork and the office’s contact details. Some requests need an examination, others ask about medicines or recent records. We cannot sign a form without assessing your mouth, so please allow time for that step.

Dental treatment near the operation

If an extraction or gum treatment is already scheduled, healing time may need to be discussed. Share both dates with us. Avoid shifting either appointment, or starting medicine, on the basis of something general you read.

If a dental problem appears close to surgery, phone us and inform the surgical team. Concealing it to protect the date can lead to harder decisions later.

What a review can sort out

Fewer assumptions, clearer instructions

A visit before surgery can uncover oral problems that need care, explain how they might be treated, and give your medical team information they have requested. It can also settle questions about medicines and routine appointments during recovery. That is useful, but it has limits: an examination cannot guarantee how the joint surgery turns out.

Two people with the same new knee may leave with different dental plans. The findings and your medical history should guide each recommendation. If something is proposed, ask whether it treats current disease or relates to timing, communication or regular maintenance.

Patient information: College of Dental Hygienists of Ontario — joint replacement advisory

Medicine advice that fits you

Instead of general rules from friends or old prescriptions, you get advice tied to your history. Where preventive medicine is being considered, the dentist and surgeon can discuss it and give clear directions.

A treatment plan in plain terms

When the dentist recommends treatment, ask which tooth or area is involved and why. Knowing the diagnosis helps you see what should happen before surgery and what is optional or can wait.

Recovery without guesswork

Ask how to manage brushing and cleaning while mobility is limited, and when routine visits should restart. Knowing whom to call if a dental problem appears takes uncertainty out of rehabilitation.

Inside the appointment

Four parts to a pre-surgical visit

We begin with your concerns and the operation ahead. Coordination with the hospital can take time, so contact us well before the last few days if you can.

  1. Medical history and medication list

    We review the planned joint procedure and date, every medicine you take, allergies and relevant conditions. Tell us about earlier joint infections or complications your surgeon considers important. Bring written instructions and a contact for questions.

  2. Examination of teeth and gums

    The dentist checks teeth, gums, existing restorations and any symptoms. Imaging may be advised if it answers a clinical question. We aim for clear findings rather than treating every imperfection as the same level of concern.

  3. Treatment discussion and coordination

    If care is indicated, we review the diagnosis, options, estimated fees and follow-up. The dental and orthopaedic teams may need to agree on timing or medication. Any report states what was assessed and does not include unsupported promises.

  4. Confirming what happens next

    After treatment, follow your instructions and attend reviews that assess healing. Check that the surgical team has the information they need. Tell both offices about changes in symptoms or dates.

The weeks before your operation

What to keep doing and what to leave alone

Follow the personal advice your clinicians give. If two sets of instructions seem to clash, ask for them to be reconciled before changing medicines or appointments.

Leave medication decisions to the professionals

Please don’t take antibiotics left from another illness, or stop a blood thinner, because a dental visit is planned. Whether any change or preventive dose is needed depends on your situation and should be settled by your clinicians.

Keep follow-up appointments

Some dental work needs to be reviewed before its result can be recorded. Report pain, swelling or bleeding that is increasing, or a site that will not settle. One visit does not always close every question about healing.

Maintain your daily routine

Brush with fluoride toothpaste and clean between teeth as advised. If you will be less mobile after surgery, ask about helpful aids or assistance now. Good home care matters even while routine visits are scheduled around recovery.

After the findings

Three directions your plan might take

Options depend on any current disease, the surgery planned and your medical circumstances. Ask how necessary care is being balanced against healing, coordination and the operation date.

When no active problem is found

Routine care, clearly documented

The next step may be recording findings, providing the requested information and booking regular care. A healthy mouth today does not rule out every future issue, yet it never justifies extra treatment just to complete a form.

When a tooth or the gums need care

Treatment for a confirmed problem

An infection, painful tooth or other significant finding may need a procedure and follow-up. Ask about treating the source instead of relying on antibiotics alone. The surgical team should know if the problem could affect preparation.

When risk factors need a closer look

A tailored medical decision

A history of joint complications or complex medical conditions may need direct discussion between clinicians. Antibiotic premedication is generally not routine solely because of a prosthetic joint. Any exception should be an individual decision with clear prescribing instructions.

Patient information: American Dental Association — antibiotics and prosthetic joint infection · ADA — shared decisions about dental care for joint-replacement patients

Burlington questions

Antibiotics, forms and timing, answered

Bring any question about medicines or schedules. What was right for another person’s operation may not apply to your health or your dental treatment.

(905) 876-4488
My mother took antibiotics before every cleaning after her hip surgery. Is that still done?
Advice has changed over time. Today, routine antibiotics before dental care are generally not recommended just because someone has a joint replacement. Some medical histories still call for an individual decision. Ask your dentist and surgeon what applies to you.
Who decides whether I need preventive antibiotics, the dentist or the surgeon?
Ideally they decide together when it is in question. The surgeon understands your joint and medical history, and the dentist understands the planned dental procedure. If you receive different advice, ask them to clarify with each other before your appointment.
I take a blood thinner. Should I stop it before my dental appointment?
Do not stop it on your own. Tell us what you take and who prescribes it. For most dental care a plan can be made without changes, and when a change is considered, it is decided with the prescribing clinician.
Can I use leftover antibiotics if a tooth flares up before surgery?
Please don’t. Leftover medicine may be the wrong drug or dose, and it will not remove the source of an infection. Call us for an assessment and let your surgical team know about the symptom.
Does the surgical team need my dental x-rays?
Some ask for them and some do not. Bring the request so we can see what is wanted. With your consent, we can share relevant records or findings, and we will tell you if new images would help answer a specific question.
How do I know whether a recommended treatment must happen before my operation?
Ask whether it treats an active problem or is optional work. Care for infection, pain or significant disease may be needed beforehand, while elective work can often wait. Discuss timing with both teams so the plan fits your situation.
Joint-surgery dental reviews for Burlington

Sort out the medicine questions before surgery day.

Get in touch with our Bronte Street practice and have three things ready: the operation date, your medication list and any request from the orthopaedic team. We will arrange an assessment and explain what information and follow-up your care calls for.

Phone us if your operation is close or a symptom needs quick attention. Submitting an online request does not confirm urgent assessment or completed forms.

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Unit 1, 342 Bronte St. S, Milton, ON L9T 5B7
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