Dental Clearance Prior to Elective Arthroplasty May Not be Needed for Everyone

作者：Tokarski Anthony T; Patel Raj G; Parvizi Javad; Deirmengian Gregory K^*

来源：Journal of Arthroplasty, 2014, 29(9): 1729-1732.

DOI：10.1016/j.arth.2014.04.018

• total joint arthroplasty
• total knee arthroplasty
• total hip arthroplasty
• dental clearance
• total joint revision

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.

• 出版日期2014-9