Your browser doesn't support javascript.
loading
Effect of Preoperative Dental Extraction on Postoperative Complications After Total Joint Arthroplasty.
Sonn, Kevin A; Larsen, Christopher G; Adams, William; Brown, Nicholas M; McAsey, Craig J.
Afiliación
  • Sonn KA; Department of Orthopaedic Surgery & Rehabilitation, Loyola University Medical Center, Maywood, IL.
  • Larsen CG; Department of Orthopaedic Surgery, Northwell Health, New Hyde Park, NY.
  • Adams W; Clinical Research Office Biostatistics Core, Stritch School of Medicine, Loyola University Chicago, Maywood, IL.
  • Brown NM; Department of Orthopaedic Surgery & Rehabilitation, Loyola University Medical Center, Maywood, IL.
  • McAsey CJ; Anderson Orthopaedic Research Institute, Department of Orthopaedic Surgery, Arlington, VA.
J Arthroplasty ; 34(9): 2080-2084, 2019 Sep.
Article en En | MEDLINE | ID: mdl-31138503
BACKGROUND: Poor dental hygiene has historically been considered a potential risk factor for infection in total joint arthroplasty (TJA), which has resulted in the common practice of requiring preoperative dental clearance and often results in dental extractions. However, the association between dental pathology and periprosthetic joint infection (PJI) has recently been called into question. METHODS: A consecutive series of 2457 primary total hip and total knee arthroplasties were retrospectively reviewed. Documented dental evaluation was found in 1944 (79.1%) procedures, 223 (11.5%) of which had extraction of at least 1 tooth. No documented dental evaluation was found in 369 (15.0%) patients. RESULTS: The overall complication rate was 3.87% with an overall PJI rate of 1.51%. There was no statistically significant association between a complication and procedure type, sex, preoperative dental evaluation or extraction, diabetes status, immunosuppression, malnutrition, or age. However, our sample demonstrated a higher complication rate among patients undergoing dental extraction as well as for those with diabetes and immunosuppressed patients. CONCLUSION: Our findings suggest that routine formal dental clearance for all TJA patients may not be necessary. Additionally, patients with poor oral hygiene may not have elevated risk of postoperative PJI, and preoperative tooth extraction may represent an unnecessary step for patients undergoing elective TJA.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extracción Dental / Artritis Infecciosa / Infecciones Relacionadas con Prótesis / Procedimientos Quirúrgicos Electivos / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extracción Dental / Artritis Infecciosa / Infecciones Relacionadas con Prótesis / Procedimientos Quirúrgicos Electivos / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos