Impact of dental clearance on total joint arthroplasty: A systematic review  

作　　者：Christopher Frey Sergio M Navarro Terri Blackwell Carla Lidner H Del Schutte Jr 

机构地区：[1]Department of Orthopedic Surgery,Stanford Medicine,Redwood City,CA 94063,United States [2]Department of Surgery,Baylor College of Medicine,Houston,TX 77030,United States [3]Said School of Business University of Oxford,Oxford OX11HP,United Kingdom [4]Comprehensive Joint Program,Charleston Institute for Advanced Orthopedics,Charleston,SC 29464,United States [5]Dentistry,Orange County Dental Society,Orange,CA 92868,United States

出　　处：《World Journal of Orthopedics》2019年第12期416-423,共8页世界骨科杂志（英文版）

摘　　要：Many orthopedic surgeons require that their patients obtain dental clearance before elective total joint arthroplasty(TJA).However,there is no consensus substantiating the practice.To this end,a systematic review on the prevalence of dental pathology in TJA patients,risk factors for failing dental screening,and impact of dental evaluations was performed.Literature was sourced from PubMed and Scopus databases.Six papers were sourced from the initial search,one study was extracted from the references of the original six manuscripts,and one new publication was retrieved from a second search conducted after the first.The prevalence of dental pathology ranged from 8.8%to 29.4%across studies.Two of four papers reported lower than average or improvements in postoperative infection with pre-operative dental evaluations while two found no such association.There is insufficient evidence to support universal dental clearance before TJA.Many orthopedic surgeons require that their patients obtain dental clearance before elective total joint arthroplasty(TJA).However,there is no consensus substantiating the practice.To this end,a systematic review on the prevalence of dental pathology in TJA patients,risk factors for failing dental screening,and impact of dental evaluations was performed.Literature was sourced from PubMed and Scopus databases.Six papers were sourced from the initial search,one study was extracted from the references of the original six manuscripts,and one new publication was retrieved from a second search conducted after the first The prevalence of dental pathology ranged from 8.8% to 29.4% across studies.Two of four papers reported lower than average or improvements in postoperative infection with pre-operative dental evaluations while two found no such association.There is insufficient evidence to support universal dental clearance before TJA.

关 键 词：TOTAL KNEE ARTHROPLASTY TOTAL hip ARTHROPLASTY TOTAL JOINT ARTHROPLASTY PERIPROSTHETIC JOINT infection DENTAL screening 

分 类 号：R78[医药卫生—口腔医学]