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. 2025 Jul 31.
doi: 10.5435/JAAOS-D-25-00458. Online ahead of print.

AAOS Clinical Practice Guideline Summary Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures

Charles P Hannon  1 , Matthew J Grosso, Yale A Fillingham, Lauren L Patton; Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures Work Group; Non-Voting Oversight Chair; Staff of the American Academy of Orthopaedic Surgeons; Former AAOS Staff; Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures Work Group and Non-Voting Oversight Chair and Staff of the American Academy of Orthopaedic Surgeons and Former AAOS Staff
Collaborators, Affiliations

AAOS Clinical Practice Guideline Summary Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures

Charles P Hannon et al. J Am Acad Orthop Surg. .

Abstract

The Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures Evidence-Based Clinical Practice Guideline is based on a systematic review of published studies examining the influence of dental care and procedures on outcomes after total joint arthroplasty (TJA) as well as strategies to mitigate potential risks associated with dental care and procedures in patients with a TJA. The scope of this guideline includes the role of dental screening, antibiotic prophylaxis, use of antimicrobial mouth rinses, and timing of dental procedures before and after TJA. The population was limited to patients with total hip arthroplasty (THA) or total knee arthroplasty because of a paucity of data on patients with other orthopaedic implants. Based on the best current available evidence, this guideline contains five options to assist all qualified clinicians, including orthopaedic surgeons and dental providers, considering the prevention of total hip arthroplasty and total knee arthroplasty periprosthetic joint infections in patients undergoing dental procedures. It is also intended to serve as an information resource for professional healthcare practitioners and developers of practice guidelines and recommendations. In addition to providing pragmatic practice recommendations, this guideline also highlights gaps in literature and informs areas for future research and quality measure development.

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References

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