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Odontología Vital
On-line version ISSN 1659-0775Print version ISSN 1659-0775
Abstract
FONSECA ESCOBAR, Diego; PARADA FERNANDEZ, Fernando and CORTES VASQUEZ, Sandra Dora. Antibiotic prophylaxis of the patient with body prostheses undergoing oral surgery: A case report. Odontología Vital [online]. 2021, n.34, pp.49-56. ISSN 1659-0775.
Introduction:
In Chile, according to the last census 2017, performed by the National Statistics Institute (INE), the population with 65 years or older, accounts for 11,4% of Chileans. This reflects an apparent aging of its citizens, in comparison to previous versions of the census. These demographical changes imply an increase in the numbers of osteoarticular pathologies, tendency that may be observed globally.
Objective:
Alongside with a narrative review of the literature regarding patients with hip prostheses, a case of a female patient.
Method:
82 years old patient, attends the surgery clinic of the Andrés Bello University of Santiago de Chile, to perform extraction of lower canines by prosthetic indication. During the anamnesis, the patient reports a total hip replacement arthroplasty 5 months ago due to trauma. Intrasurgically, the extraction was performed as little traumatic as possible and local hemostasis measures.
Conclusion:
According to the latest guidelines reported by diverse medical and dental societies, it is suggested that the application of antibiotic prophylaxis only in patients with an uncontrolled systemic pathology, polymedicated, weakened immune system, and/or with a history of prosthetic infection.
Keywords : Antibiotic prophylaxis; body prostheses; oral surgery.