Dental clearance prior to elective arthroplasty may not be needed for everyone.
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.
Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Anthony T
AT
Tokarski
Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Raj G
RG
Patel
Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Javad
J
Parvizi
Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Gregory K
GK
Deirmengian
D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene / Q000706:statistics & numerical data*; D011300:Preoperative Care / Q000706:statistics & numerical data*; D015995:Prevalence; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D009057:Stomatognathic Diseases / Q000453:epidemiology* / Q000517:prevention & control; D011795:Surveys and Questionnaires; D019564:Unnecessary Procedures
dental clearance; total hip arthroplasty; total joint arthroplasty; total joint revision; total knee arthroplasty