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Dental procedures and their relationship with postoperative peri-prosthetic joint infection

  • 1.Ayoade F, Li D, Mabrouk A, Todd JR. Periprosthetic joint infection. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan [cited 2025 Nov 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448131/.
  • 2.Ramos MS, Benyamini B, Kompala V, Khan ST, Kunze KN, McLaughlin JP, Visperas A, Piuzzi NS. Periprosthetic joint infection mortality after total hip arthroplasty is comparable to 5-year rates of common cancers: a meta-analysis. J Arthroplasty. 2025 Oct;40(10):2697–2705.e2. doi: 10.1016/j.arth.2025.04.036.
  • 3.Premkumar A, Kolin DA, Farley KX, Wilson JM, McLawhorn AS, Cross MB, Sculco PK. Projected economic burden of periprosthetic joint infection of the hip and knee in the United States. J Arthroplasty. 2021 May;36(5):1484–1489.e3. doi: 10.1016/j.arth.2020.12.005.
  • 4.Schmalz G, Ziebolz D. The hypotheses of oral disease-associated perioprosthetic joint infections to understand the role of oral health for endoprostheses—a narrative review. Spec Care Dentist. 2024 Mar–Apr;44(2):328–38. doi: 10.1111/scd.12901.
  • 5.American Academy of Orthopaedic Surgeons. AAOS updates clinical practice guideline to prevent total hip and knee arthroplasty periprosthetic joint infection in patients undergoing dental procedures. Rosemont (IL): American Academy of Orthopaedic Surgeons; 2024 Dec 17 [cited 2025 Nov 6]. Available from: https://www.aaos.org/aaos-home/newsroom/press-releases/aaos-updates-clinical-practice-guideline-to-prevent-total-hip-and-knee-arthroplasty-periprosthetic-joint-infection-in-patients-undergoing-dental-procedures/.
  • 6.American Academy of Orthopaedic Surgeons. The American Academy of Orthopaedic Surgeons/American Association of Hip and Knee Surgeons prevention of total hip and knee arthroplasty periprosthetic joint infection in patients undergoing dental procedures evidence-based clinical practice guideline. Rosemont (IL): American Academy of Orthopaedic Surgeons; 2024 Nov 18 [cited 2025 Nov 6]. Available from: aaos.org/dentalppxcpg.
  • 7.Kao FC, Hsu YC, Chen WH, Lin JN, Lo YY, Tu YK. Prosthetic joint infection following invasive dental procedures and antibiotic prophylaxis in patients with hip or knee arthroplasty. Infect Control Hosp Epidemiol. 2017 Feb;38(2):154–61. doi: 10.1017/ice.2016.248.
  • 8.Thornhill MH, Gibson TB, Pack C, Rosario BL, Bloemers S, Lockhart PB, Springer B, Baddour LM. Quantifying the risk of prosthetic joint infections after invasive dental procedures and the effect of antibiotic prophylaxis. J Am Dent Assoc. 2023 Jan;154(1):43–52.e12. doi: 10.1016/j.adaj.2022.10.001.
  • 9.Berbari EF, Osmon DR, Carr A, Hanssen AD, Baddour LM, Greene D, Kupp LI, Baughan LW, Harmsen WS, Mandrekar JN, Therneau TM, Steckelberg JM, Virk A, Wilson WR. Dental procedures as risk factors for prosthetic hip or knee infection: a hospital-based prospective case-control study. Clin Infect Dis. 2010 Jan 1;50(1):8–16. doi: 10.1086/648676. Erratum in: Clin Infect Dis. 2010 Mar 15;50(6):944.
  • 10.Kwan SA, Lau V, Fliegel BE, Baker C, Courtney PM, Deirmengian GK. Routine preoperative dental clearance for total joint arthroplasty: is there a benefit? Cureus. 2023 Jul 4;15(7):e41352. doi: 10.7759/cureus.41352.
  • 11.Fenske F, Krause L, Meyer S, Kujat B, Repmann J, Neuhaus M, Zimmerer R, Roth A, Lethaus B, Ziebolz D, Schmalz G. Oral health screening for risk reduction for early periprosthetic joint infections of hip and knee endoprostheses—results of a prospective cohort study. J Clin Med. 2023 Jul 3;12(13):4451. doi: 10.3390/jcm12134451.
  • 12.Brenner JD, Atallah M, Yatsonsky D, Casabianca A, Hanna M. Higher onset of periprosthetic joint infections in patients with teeth compared to those without teeth. Cureus. 2024 Jul 2;16(7):e63696. doi: 10.7759/cureus.63696.
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