Medical clearance

Dental care before joint surgery

Surgeons routinely ask for a dental check before hip and knee replacement or cardiac surgery. The reason is straightforward: bacteria from an untreated dental infection can travel in the bloodstream and settle on a new joint or heart valve.

Why your surgeon asks for it

An infected prosthetic joint is a serious complication that can mean further surgery and a long course of antibiotics. Eliminating obvious sources of infection beforehand is a simple, low-cost precaution.

Most surgeons want any active infection, abscess or advanced gum disease dealt with and healed before the operation date.

  • Full examination and X-rays to find hidden infection
  • Assessment of gum health and any deep pockets
  • Treatment or extraction of unsalvageable teeth
  • Professional clean to reduce bacterial load
  • A written clearance letter for your surgeon

Working to your surgery date

Timing usually matters, since most people are told about the dental requirement well after the surgery has been booked. Tell us your operation date when you call and we will prioritise the appointment.

If teeth need extracting, we allow healing time before your surgery wherever possible. Where the schedule is tight, we will liaise with your surgeon about what is realistic.

After your surgery

Your surgeon may advise antibiotic cover before dental treatment for a period afterwards, particularly in the first two years or if you are immunocompromised. Always tell us about your joint replacement or valve so we can follow current guidance and check with your specialist where needed.

Good to know

Common questions

How quickly can I be seen?+
Tell us your surgery date when you call on 03 662 5025 and we will fit you in as a priority. A clearance examination is usually a single appointment.
Will you provide a letter for my surgeon?+
Yes. We provide a written clearance letter setting out our findings, any treatment carried out and confirmation that you are dentally fit for surgery.
What if a tooth needs removing?+
We will discuss it with you and, where relevant, with your surgical team, and aim to allow healing before your operation. Removing an infected tooth is almost always preferable to postponing the surgery.
Book a visit

Talk to us about your teeth

Call the practice, email us, or send an enquiry through the contact page. We will talk you through the options and the cost before anything is booked.

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Book an Appointment

Open Monday–Friday, 8am–6pm, and Saturday 8am–5pm.

St Albans, Christchurch: 248B Cranford Street, St Albans, Christchurch 8052

Rangiora: 15 Ivory Street, Rangiora 7400