Why We Don't Prescribe Routine Antibiotics

The use of routine antibiotics, especially when not medically necessary, has several drawbacks and potential negative consequences. Here are a few reasons why routine antibiotics should be avoided:

Antibiotic Resistance

One of the most significant concerns associated with routine antibiotic use is the development of antibiotic resistance. Overuse and misuse of antibiotics contribute to the emergence of drug-resistant bacteria. When antibiotics are used unnecessarily, bacteria can adapt and become resistant, making them less effective at treating bacterial infections. This poses a significant threat to public health, as it limits treatment options for bacterial infections and increases the risk of prolonged illness or complications.

Disruption of Normal Flora

Antibiotics target not only harmful bacteria but also the beneficial bacteria that make up our normal microbiota. These bacteria play crucial roles in maintaining our overall health, such as aiding digestion, supporting immune function, and preventing the colonization of harmful bacteria. Routine antibiotic use can disrupt this delicate balance and potentially lead to adverse health effects, including gastrointestinal disturbances, susceptibility to infections, and other complications.

Side Effects and Allergic Reactions

Antibiotics are not without risks. They can cause various side effects, ranging from mild gastrointestinal disturbances to more severe allergic reactions. Routine use of antibiotics increases the likelihood of experiencing these side effects unnecessarily, which can have a negative impact on an individual's health and quality of life.

Antibiotics after Orthopedic Surgery

Another question we often hear is about antibiotics before surgery for those who have had orthopedic joint replacements. A 2013 paper by the American Association of Orthopedic Surgeons found no benefit to taking antibiotics. (See the paper: “ADA/AAOS Antibiotic Prophylaxis Guideline for Dental Patients with Orthopedic Implants”). As a result, if your orthopedic surgeon wants to prescribe antibiotics, he is welcome to. Dr. John does not do so routinely.

Antibiotics in Cardiac Conditions.

Certain cardiac conditions warrant prophylactic antibiotics. These guidelines constantly change. Dr. John gives the recommendation based on the latest guidelines.

These are the latest guidelines: Antibiotic Prophylaxis Prior to Dental Procedures

As a result, Dr. John prescribes antibiotics only when necessary and not routinely.