Dental clearance prior to elective arthroplasty may not be needed for everyone.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 24851786.
- Also identified by DOI 10.1016/j.arth.2014.04.018.
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Abstract
We investigated the prevalence and risk factors for preoperative dental clearance failure in joint arthroplasty patients. Over a 5-month period, all patients scheduling total joint arthroplasty completed a dental questionnaire. Data collected included demographics, medical and dental history, dental hygiene practices, frequency of dental care, and results of dental clearance. Of the 300 patients, 35 (12%) failed dental clearance. Risk factors included tobacco use, poor flossing habits, history of tooth extraction, age, narcotic use, and lack of a dentist visit within 12 months. Of 189 patients who lacked the 3 least prevalent risk factors (tobacco use, narcotic use, no dental visit within 12 months), 11 (6%) failed dental clearance. Selective dental clearance based on patient risk stratification may be a reasonable approach.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Arthroplasty, Replacement, Knee
- Oral Hygiene
- Preoperative Care
- Stomatognathic Diseases
- Unnecessary Procedures
Anatomy
- hip
- knee