# AME: No More Joint Premedication?

Page: https://stenobird.com/podcast/the-very-dental-podcast-network-555429/ame-no-more-joint-premedication
Text version: https://stenobird.com/podcast/the-very-dental-podcast-network-555429/ame-no-more-joint-premedication.md
Podcast: [The Very Dental Podcast Network](https://stenobird.com/podcast/the-very-dental-podcast-network-555429)
Published: 2026-06-22T09:00:00+00:00
Episode link: https://dentalhacks.libsyn.com/ame-no-more-joint-premedication
Audio file: https://traffic.libsyn.com/secure/dentalhacks/AME_6.22.2026_mixdown-processed_01.mp3?dest-id=205218
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/the-very-dental-podcast-network-555429/episodes/ame-no-more-joint-premedication
Duration seconds: 1796

## Resource

Alan dives into the long-awaited alignment between dentists and orthopedic surgeons regarding antibiotic premedication for joint replacement patients. Reflecting on a wildly sarcastic blog post he wrote back in 2012 , Alan breaks down the history of joint prophylaxis confusion—from the shotgun antibiotic approach of the 1990s to the frustratingly vague "case-by-case" guidelines of 2012 and 2017. He highlights the game-changing late-2024 AAOS/ADA update, which officially confirms that routine systemic antibiotics do not reduce the risk of periprosthetic joint infections. Alan shares his exact, blunt office protocol letter designed to push back against old-school surgeons who refuse to follow modern data, explains why patient safety and antibiotic stewardship must override legal fears Some links from the show: "Meet the New Guidelines, Same as the Old Guidelines" Latest AAOS recommendation AAOS evidence base Alan's letter Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method ! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head o…

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## Transcript

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