Symptoms you’ve noticed
Tooth pain, a swollen gum or a broken filling should be assessed before surgery rather than carried into recovery. Tell us when it started and how severe it is. The diagnosis helps both teams decide what comes next.

“Get dental clearance” sounds simple, but it rarely tells you what the surgeon actually needs. From Acton, bring the request to an assessment where we read it closely, examine your mouth and answer it accurately.
The words appear on many pre-op checklists, and they mean different things to different offices. One surgeon wants to know whether you have an active infection. Another wants recent x-rays. A third simply wants to be sure you have a dentist. Without the actual request, it is easy to over-prepare, under-prepare or expect a quick signature that cannot honestly be given.
Underneath any wording, the dental questions are fairly constant. Is there disease that needs treating? Does any planned dental work clash with the surgery date? Are there medical factors, such as a previous joint infection or blood thinners, that the clinicians should discuss? An active infection is treated at its source; that is separate from preventive antibiotics, which are generally not routine for people with prosthetic joints.
From Acton, the most useful thing to bring is the document itself, plus the surgery date and your medication list. We will examine your teeth and gums, explain what we find, and respond to what was asked, not to a general idea of clearance. Our report describes your mouth on the day; it cannot promise that surgery will be free from infection.

Have your surgery date and a description of any symptoms ready. If the hospital reschedules, let us know, since that can change the timing of dental care.
Tooth pain, a swollen gum or a broken filling should be assessed before surgery rather than carried into recovery. Tell us when it started and how severe it is. The diagnosis helps both teams decide what comes next.
Bring the form, letter or checklist and the office’s contact details. If the wording is vague, we may call them with your consent to clarify. A dentist should not sign anything that has not been backed by an examination.
If an extraction or gum treatment is on your calendar near the operation, share both dates with us. A recent extraction site, for example, may still be healing when you go into hospital, and your surgeon may want to know. Please don’t cancel or move either one on your own; let the clinicians agree on the order.
A dental problem that appears close to surgery should be reported to us and to the surgical team. Concealing it to keep the schedule rarely works out well.
Responding to what the surgical team actually asked saves time on both sides. The visit can still identify a dental problem, explain treatment choices and cover routine care during recovery. Bear in mind its limits: an examination reports on your mouth, it does not predict how joint surgery will go.
Two forms that both say clearance can lead to very different visits. Your findings and medical context decide what is recommended. Ask of each suggestion whether it treats something active or responds to timing, paperwork or regular maintenance.
Patient information: College of Dental Hygienists of Ontario — joint replacement advisory
We address the questions on the form with findings from your examination, in plain terms the surgical office can use. If the form asks something we can’t answer from a dental assessment, we will say so rather than guess.
If a tooth or area of gum needs care, ask which one and why. Knowing the diagnosis helps you tell a necessary step from optional work that can be planned later.
Ask how to manage brushing and cleaning while mobility is limited, when routine visits should resume, and whom to call if a new dental issue appears.
We start with the request and any symptoms. Replies to the surgical team can take a few days, so please book before the last week if you can.
We go through the form with you and note the joint procedure, date, medicines, allergies and relevant history. Tell us about earlier joint infections or complications your surgeon considers important.
The dentist checks teeth, gums, restorations and any symptoms. X-rays may be recommended where the request or a clinical question calls for them. The goal is accurate findings, not treating every imperfection as a concern.
You will hear the diagnosis, any treatment options, estimated fees and follow-up. If timing matters, we can discuss it with the orthopaedic office. What we write reflects the assessment, with no guarantee we cannot stand behind.
With your consent, we send the information requested and confirm what went. If treatment comes first, we explain when the form can be completed. Update both offices if symptoms or dates change.
Follow the specific advice your clinicians give. If two instructions conflict, ask for them to be reconciled before you change a medicine or appointment.
Some treatment needs a review before the result can be recorded on the form. Call if pain, swelling or bleeding worsens or a site is not settling. One appointment does not always resolve every healing question.
Brush with fluoride toothpaste twice a day and clean between teeth as advised. If you will be less mobile after surgery, ask about aids or arrange help now. Home care stays important while routine visits are planned around recovery.
Do not take leftover antibiotics or stop a blood thinner because of a dental appointment. Whether any change or preventive medicine is needed depends on your situation and is for the responsible professionals to decide.
Ask about paperwork, timing or medicines. What another person’s surgeon requested may differ from what yours needs.
Contact our Bronte Street practice with the request from your orthopaedic team, your surgery date and any dental symptoms. We will arrange an examination and explain what the response will include.
If surgery is close or a tooth is troubling you, please call. Requests sent online are handled as regular bookings, not urgent assessments or same-day forms.