In the past, the ADA has required that any patient with an artificial joint and/or a heart condition take an antibiotic pre-medication before any dental visit. Last year they changed that requirement to affect ONLY patients who have heart conditions. Unless your individual doctor still wants you to take pre-medication for joint replacements, the ADA has decided it is not necessary.
This link contains valuable information for those with heart conditions and explains why taking a pre-med is necessary:
https://www.mouthhealthy.org/en/az-topics/a/premedication-or-antibiotics
Dental Visits For Those With Heart Conditions
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