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