No association between invasive dental procedures and development of late periprosthetic joint infections

Medically Reviewed By : Dr. Kamal Kant Kohli

Published On 2023-01-03 03:30 GMT | Update On 2023-01-03 05:44 GMT

Researchers have found in a new study that there is no association between invasive dental procedures and the subsequent development of late periprosthetic joint infections.

The study has been published in The Journal of the American Dental Association.

Dentists face the expectations of orthopedic surgeons and patients with prosthetic joints to provide antibiotic prophylaxis (AP) before invasive dental procedures (IDPs) to reduce the risk of late periprosthetic joint infections (LPJIs), despite the lack of evidence associating IDPs with LPJIs, lack of evidence of AP efficacy, risk of AP-related adverse reactions, and potential for promoting antibiotic resistance. The authors aimed to identify any association between IDPs and LPJIs and whether AP reduces LPJI incidence after IDPs.

The authors performed a case-crossover analysis comparing IDP incidence in the 3 months immediately before LPJI hospital admission (case period) with the preceding 12-month control period for all LPJI hospital admissions with commercial or Medicare supplemental or Medicaid health care coverage and linked dental and prescription benefits data.

Results

•Overall, 2,344 LPJI hospital admissions with dental and prescription records were identified. Patients underwent 4,614 dental procedures in the 15 months before LPJI admission, including 1,821 IDPs (of which 18.3% had AP).

• The analysis identified no significant positive association between IDPs and subsequent development of LPJIs and no significant effect of AP in reducing LPJIs.

The authors identified no significant association between IDPs and LPJIs and no effect of AP cover of IDPs in reducing the risk of LPJIs. In the absence of benefit, the continued use of AP poses an unnecessary risk to patients from adverse drug reactions and to society from the potential of AP to promote development of antibiotic resistance. Dental AP use to prevent LPJIs should, therefore, cease.

Reference:

Martin H. Thornhill, Teresa B. Gibson, Cory Pack, Peter B. Lockhart, Bryan Springer, Larry M. Baddour, et al. Quantifying the risk of prosthetic joint infections after invasive dental procedures and the effect of antibiotic prophylaxis. Published:December 02, 2022DOI:https://doi.org/10.1016/j.adaj.2022.10.00

Keywords:

Prosthetic joints, antibiotic prophylaxis, guidelines, prevention, dental procedures, The Journal of the American Dental Association,Martin H. Thornhill, Teresa B. Gibson, Cory Pack, Peter B. Lockhart, Bryan Springer, Larry M. Baddour

Article Source : The Journal of the American Dental Association

Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.

NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Comments Policy

Our comments section is governed by our Comments Policy . By posting comments at Medical Dialogues you automatically agree with our Comments Policy , Terms And Conditions and Privacy Policy .

No association between invasive dental procedures and development of late periprosthetic joint infections

Similar News

Higher Community water fluoridation coverage tied to significant lowering risk of developing caries: Study

AI Enhances Carotid Plaque Detection in Dental Imaging, Paving Way for Early Atherosclerosis Diagnosis: Study

Swimming tied to greater risk of developing dental staining and poor oral QoL than non-swimmers: Study

Cetylpyridinium chloride mouthwash use decreases salivary viral titer of COVID-19 compared to placebo: Study

Nanohydroxyapatite serum effective remineralizing agent after interproximal reduction, reports study

Depression and fluoxetine may negatively impact BMD and implant osseointegration independently: Study

Habit of Daily Flossing may help Lower Cardiovascular Risk and Mortality: Study

Low Conc. H2O2 Bleaching Gel Containing Fluoride and Nano Sodium Trimetaphosphate Effective and Enamel Friendly: Study