I had a MIS-TLIF on 5/1/13 and before surgery I went for a routine dental cleaning to ensure that all of my preventative appointments were caught up before I was out for a few weeks. At that time, I was told I needed a filling (in addition to the million I already have) but to schedule it when I could sit in the chair for 45 minutes after surgery.
I scheduled it for 7/9/13 and when I showed up for the appointment, had to fill out a new medical history form- my dentist was reviewing what I noted on there and he said, "You have a prosthetic device?" I said, if an artificial bone graft in my spine counts, then yes. He kind of hestitated and didn't really say why but then asked if my surgeon stated that any special care needs to be taken for dental work after my surgery as I have the new hardware. My surgeon did not give me anything special to do before treatment of any type. He was hesitant, but did the filling.....
I decided to research a little to see why he was so hesitant, here is what I found, "For patients with a history of spinal surgery with implants (fusion, disk replacement, stabilization with metallic or plastic hardware): you will need to be pretreated with an antibiotic if dental work is needed within 24 months of your surgery. We recommend avoiding routine dental procedures for the first 3 months following a spinal fusion. For 24 months after surgery, we suggest antibiotic therapy. After 24 months, you will not need antibiotics."
I called and left a message with my surgical nurse as I am just over 2 months out of my fusion. Any inputs?
MIS TLIF L5/S1 on 5/1/13