Dental Guideline for Spine Surgery
Dr. Connor Telles
- No dental work 3 weeks prior to surgery or 3 months after surgery
- Prophylactic antibiotic therapy is required for one (1) year following
This timing helps reduce oral bacterial load, minimizes the risk of perioperative bacteremia, and supports optimal wound healing.
Preferred regimen
- Amoxicillin 2 grams orally, taken 30–60 minutes prior to the dental procedure
For patients with severe penicillin allergy
- Azithromycin 500 mg orally, 30–60 minutes prior to the procedure
- Clarithromycin 500 mg orally, 30–60 minutes prior to the procedure
Unless specifically cleared for dental work by Dr. Telles
Urgent or emergent dental care during these windows should be discussed directly with the treating surgeon.
If you have questions about a specific patient or would like to discuss individual circumstances, please do not hesitate to contact our office. We value your partnership in providing safe, coordinated care. If you would like to have your patients' surgical records on file, please use the fax it to Mammoth Hospital Orthopedic Clinic and the staff will fill it out and fax it back.
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