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Thread: September 9th surgery

  1. #286
    Join Date
    May 2008
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    reno,nevada
    Posts
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    Melissa

    You didnít tell your Dentist about your surgeries? They usually ask patients how things are going, and keep an eye out for different symptoms......

    I took amox for my dentist and teeth cleanings for about a year after my surgeries.

    There is quite a bit of bacteria in the mouth. Actually, itís the Miami beach of bacteria. (sorry Miami)

    You donít want to take chances with infection.....no, no ,no, no, no.
    Ed
    49 yr old male, now 60, the new 55...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  2. #287
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    Mar 2008
    Location
    New Bern, NC
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    1,445
    I think this is all up for debate even among Doctors. My Doc told me only for the first three months do I need to take antibiotics prior to dental work. I told him it was too late as I already went for my 6 month checkup with the dentist in that time period. Call your spine Doctor Melissa. You more than likely will not have a problem, so don't worry.
    Sally
    Diagnosed with severe lumbar scoliosis at age 65.
    Posterior Fusion L2-S1 on 12/4/2007. age 67
    Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
    Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
    New England Baptist Hospital, Boston, MA
    Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

    "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

  3. #288
    Join Date
    Jun 2011
    Location
    Southern CA
    Posts
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    Thanks all. I certainly did tell the dentist as she asked about why I could not lay comfortably in the chair. Dr Bederman is putting me on antibiotics now. I hope
    this does not mess up my November 7th surgery

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  4. #289
    Join Date
    Jun 2011
    Location
    Southern CA
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    No problem. Dr Bederman is having me take antibiotics the day of the procedure. He is more concerned when I get my teeth cleaned about bacteria entering my
    bloodstream
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  5. #290
    Join Date
    Jun 2011
    Location
    Southern CA
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    Now I have a big sore on my lip because , when it was numb, I bit and now it really hurts
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  6. #291
    Join Date
    Mar 2005
    Location
    NJ across from NYC
    Posts
    329

    Amoxicillin

    Dr. Boachie's instructions ..... four Amoxicillin one hour before any dental appointment for the next five years. Prior surgeries, I never had been told to do this.
    1981 Surgery with Harrington Rod; fused from T2 to L3 - Dr.Keim (at 26 years old)
    2000 Partial Rod Removal
    2001 Right Scapular Resection
    12/07/2010 Surgical stabilization L3 through sacrum with revision harrington rod instrumentation, interbody fusion and pre-sacral fusion L5-S1 - Dr. Boachie (at 56 years old)
    06/11/14 - Posterior cervical fusion C3 - T3 (Mountaineer System) due to severely arthritic joints - Dr. Patrick O'Leary (at age 59)

  7. #292
    Join Date
    Sep 2009
    Posts
    238
    Hi Jacque's mom-

    I had surgery with Dr. Boachie last year. Since my surgery I have been to the dentist 3 times and have never taken any antibiotics! My dentist knew I had spinal fusion with instrumentation and never told me about taking an antibiotic. Dr. Boachie never mentioned anything about this to me either. How did you get the instructions from him? Did he come out and tell you, or did you think to ask? Just curious...I am worried about an infection since I had a crown put in and didn't take anything. But I have had no signs of an infection. Does he write out the prescription? If not, who do you get it from. I have another dentist appt in 3 weeks so I'm glad I found this out!
    Surgery date: June 8, 2010 with Dr. Boachie
    Thoracic curve: 55 degrees, corrected to 25 degrees
    Lumbar curve: 58 degrees, corrected to 27 degrees
    Posterior-only surgery, Levels T3-L3
    31 year old mother of 2 young kids

  8. #293
    Join Date
    Jun 2011
    Location
    Southern CA
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    I am off today to have my myleogram done, what fun and my pre-op.This time next week, I will be getting ready for my surgery
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  9. #294
    Join Date
    Oct 2005
    Location
    Chicago north suburb
    Posts
    772
    [QUOTE=golfnut If you are having any dental work (routine cleanings, filling cavities, root canal, etc.) you must take an antibiotic prior to having the work done for the first two years after surgery."[/QUOTE]

    My surgeon said for the rest of my life. He said that infection will always be a possibility with an instrumented spine. And as Iíve read these posts over the years, every now and then someone does report about a delayed infection, such as this one.
    http://www.scoliosis.org/forum/showt...609#post122609

  10. #295
    Join Date
    Jan 2008
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    NC
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    Quote Originally Posted by CHRIS WBS View Post
    My surgeon said for the rest of my life. He said that infection will always be a possibility with an instrumented spine. And as Iíve read these posts over the years, every now and then someone does report about a delayed infection, such as this one.
    http://www.scoliosis.org/forum/showt...609#post122609
    There is no reason to believe that infection was related to oral surgery or dentistry of any kind.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  11. #296
    Join Date
    Mar 2005
    Location
    NJ across from NYC
    Posts
    329
    JenM - I went to a new dentist for a cleaning, etc. in February, and they asked me if I had a prescription for antibiotics since I was still in my back brace from my recent revision surgery. They called Dr. Boachie's office while I was there and was told about the antibiotics. My dentist then wrote me a prescription for the Amoxicillin. I take four one hour before every visit, even if it's just a cleaning and as mentioned for five years. I had my original surgery in 1981 followed by the scapular surgery and never took antibiotics. Please don't freak out, you'll be fine but call Dr. Boachie's office and your dentist can prescribe. Take care, Lynn
    Last edited by Jacque's Mom; 10-31-2011 at 09:53 AM.
    1981 Surgery with Harrington Rod; fused from T2 to L3 - Dr.Keim (at 26 years old)
    2000 Partial Rod Removal
    2001 Right Scapular Resection
    12/07/2010 Surgical stabilization L3 through sacrum with revision harrington rod instrumentation, interbody fusion and pre-sacral fusion L5-S1 - Dr. Boachie (at 56 years old)
    06/11/14 - Posterior cervical fusion C3 - T3 (Mountaineer System) due to severely arthritic joints - Dr. Patrick O'Leary (at age 59)

  12. #297
    Join Date
    Oct 2005
    Location
    Chicago north suburb
    Posts
    772
    And thereís no reason to believe that it wasnít related. My surgeon feel itís best to err on the side of caution.
    http://www.scoliosis.org/forum/showt...634#post122634

  13. #298
    Join Date
    Jan 2008
    Location
    NC
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    Quote Originally Posted by CHRIS WBS View Post
    And thereís no reason to believe that it wasnít related. My surgeon feel itís best to err on the side of caution.
    http://www.scoliosis.org/forum/showt...634#post122634
    We don't even know if that woman had any dental procedures.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  14. #299
    Join Date
    Mar 2008
    Location
    New Bern, NC
    Posts
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    I put this on the new thread and I will put it on this thread. I got this information of the American Dental Association's website. Read all the way to the bottom. Not every Doctor keeps up with the latest research on every subject!
    Sally

    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Before some dental treatments, patients who have certain heart conditions and those with artificial joints take antibiotics. These people may be at risk of developing an infection in the heart or at the site of the artificial joint, respectively. Antibiotics reduce this risk. This is called antibiotic prophylaxis (pronounced pro-fuh-lax-iss).

    When treating patients with heart conditions, dentists follow recommendations developed by the American Heart Association (AHA), with input from the ADA. For patients who have total joint replacements, they refer to recommendations developed by the American Academy of Orthopedic Surgeons (AAOS).
    Recommendations for People with Heart Conditions

    The AHA recommendations are meant to reduce the risk of infective endocarditis (pronounced end-o-car-die-tiss). Infective endocarditis (IE) is an infection of the lining inside the heart or the heart valves.

    In the past, a number of heart conditions were thought to put patients at risk for IE. When writing the new recommendations, the AHA looked at published research and other scientific articles. They found that fewer conditions were associated with IE. As a result, a smaller group of patients needs to premedicate before dental treatments.
    Why did the recommendations change?

    After looking at the published scientific reports and articles, the AHA concluded that:

    the risks of adverse reactions to antibiotics outweigh the benefits of prophylaxis for most patients. Adverse reactions can range from mild (rashes) to severe (breathing problems that could result in death).
    when all the study results were looked at together, it wasnít clear that premedication prevented IE.
    bacteria from the mouth can enter the bloodstream during daily activities like brushing or cleaning between the teeth. Once in the bloodstream, it can travel to the heart. People at risk of infection might be more likely to develop IE from these activities than after a dental treatment.

    Also, bacteria that cause infections can become resistant to antibiotics if those drugs are used too often. Because of this, doctors try to limit the use of antibiotics.
    Patient selection

    The current recommendations recommend use of preventive antibiotics before certain dental procedures for people with:

    artificial heart valves
    a history of infective endocarditis
    a cardiac transplant that develops a heart valve problem
    the following congenital (present from birth) heart conditions:*
    unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits
    a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure
    any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device.

    * Check with your cardiologist if youíre not sure whether or not you fall into one of these categories.

    People who took prophylactic antibiotics in the past but no longer need them include those with:

    mitral valve prolapse
    rheumatic heart disease
    bicuspid valve disease
    calcified aortic stenosis
    congenital (present from birth) heart conditions such as ventricular septal defect, atrial septal defect and hypertrophic cardiomyopathy.

    Talk to your dentist about how these recommendations might apply to you.
    Additional resources

    American Heart Association downloadable wallet card (available in English and Spanish)
    For the Dental Patient: Antibiotics and Your Heart

    Return to Top
    Recommendations for People with Total Joint Replacements

    Recommendations from the AAOS are meant to reduce the risk of infections at the site of an artificial joint. They apply to people who have total joint replacements. Patients who have pins, plates or other orthopedic hardware are not affected.

    AAOS recommends that dentists and physicians should consider whether patients who have total joint replacements should take antibiotics before certain types of dental procedures.Talk to your dentist about how these recommendations might apply to you.
    Diagnosed with severe lumbar scoliosis at age 65.
    Posterior Fusion L2-S1 on 12/4/2007. age 67
    Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
    Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
    New England Baptist Hospital, Boston, MA
    Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

    "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

  15. #300
    Join Date
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    Location
    NC
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    9,203
    Quote Originally Posted by loves to skate View Post
    Recommendations from the AAOS are meant to reduce the risk of infections at the site of an artificial joint. They apply to people who have total joint replacements. Patients who have pins, plates or other orthopedic hardware are not affected.
    Precisely what our surgeon told me.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

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