Final answer:
Current guidelines from the ADA and AAOS do not recommend routine premedication for patients with artificial joints before dental procedures to prevent prosthetic joint infections. Premedication might be considered on a case-by-case basis, as determined by the patient's physician or orthopedic surgeon.
Step-by-step explanation:
The question of whether patients with artificial joints require premedication before dental procedures relates to the potential risk of bacteria entering the bloodstream and causing an infection at the site of the artificial joint, a condition known as prosthetic joint infection (PJI). The American Dental Association (ADA) in collaboration with the American Academy of Orthopedic Surgeons (AAOS) has provided updated guidelines on this topic.
As of my knowledge cutoff in 2023, the ADA and AAOS do not recommend routine antibiotic prophylaxis for patients with prosthetic joint implants prior to dental procedures to prevent prosthetic joint infections. However, there may be exceptional cases where premedication is considered based on the medical history and risk factors of the patient, determined by a physician or orthopedic surgeon. These recommendations can be subject to change, and it's always essential to consult the most recent guidelines or a healthcare provider for the most current practices.
Therefore, the answer would be: D. Premedication is not indicated, unless the individual patient's situation warrants it based on medical judgment.