PROSTHETIC JOINT REPLACEMENTS

Surgical placement of prosthetic joints is commonly performed to treat the damage associated with degenerative joint disease (DJD)/osteoarthritis. Hip, knee and shoulder replacements are the more common procedures, although some orthopaedic surgeons are now performing prosthetic ankle replacements. These devices are made of foreign materials (metal and plastic copolymers) with a lot of nooks and crannies in a warm, moist, dark environment. This represents a perfect environment for pathogenic bacteria to flourish. The surgical procedures are done in a sterile operating room environment so the risk of infection during the actual surgery is very low. However, post operatively, there is a risk of secondary joint infection from bacteria of an external source, such as periodontal bacteria. In the event a joint replacement gets secondarily infected, the corrective treatment is very complicated and many times unsuccessful. Usually, antibiotics are not very effective in treating this situation because there is a lack of blood supply in the artificial joint. And antibiotics need a blood supply to reach the end target. So, the realistic goal is to PREVENT secondary infection of the prosthetic joint.

Example of a periodontal clearance form from orthopedic surgeon prior to joint replacement surgery. Names of surgeon and patient have been removed to protect their privacy.

Frequently medical insurance companies require an orthopedic surgeon to refer a patient preoperatively to a dentist for evaluation and treatment of periodontal inflammation/infection before they will pay the orthopedic surgeon to perform the joint replacement. Medical insurance companies are aware that there are better surgical outcomes with fewer expensive complications if the joint replacement surgery is performed in an environment free of periodontal inflammation/infection.

P3 is a dental locally applied antibiotic (LAA) formulation that is effective in preventing and controlling periodontal inflammation at the cellular and molecular levels. This results in better outcomes for prosthetic joint replacement. P3 is a valuable service that you can offer patients in your dental practice.

P3 Webinar

Very informative and interactive with the hygienists and the doctor. I learned about the product and how to use it effectively in the practice. I would recommend this for anyone using the products.

About P3 Dental

I was diagnosed with diabetes mellitus over twenty years ago. Sometime after, I presented to Dr. Britt with a gum infection that required periodontal surgery. From that point to present, Dr. Britt and Michelle have administered P3 treatments regularly with no recurrence of any gum related problems. Dr. Britt has shared how important P3 is to overall management of the diabetic condition. Very grateful to have been introduced to this periodontal treatment.

P3 is Life Saving

First of all, I have been under Dr Britt’s care for over 30 years and the care from Dr Britt and Michelle is stellar. But more importantly, it falls into the life saving category for me. I received a double lung transplant in 2021, so inflammation and bacteria fighting are critical to my longevity. His use of P3 antibiotics are a significant part of my bacteria fighting regimen. I can’t say enough about the importance of this treatment. The results speak for themselves. I am alive and thriving but taking care to take advantage of every necessary steps to maintain my condition. P3 is one of those important steps.

Dr Britt and Michelle are highly trained professionals, and have always given me the very best for my oral health. The P3 treatment is very effective.

RDH Blairsville, GA

I have had the privilege of enhancing oral health for several patients over the past 6 years or more thanks to P3. This product is easy to apply, yet very effective.
Oral health is so important and many people are understanding that they need to focus on obtaining and maintaining the health of their mouth. This is especially true for individuals with autoimmune compromises/diseases. The more sound healing that is accomplished with applications of P3 allows patients to find encouragement and motivation to keep working on their oral health care.
P3 is not only easy to use, but it is cost effective and worth the investment for the patient (without taking too much from their monetary resources).
Thank you for the option and benefits accomplished with P3!

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