DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES
Aim of the study: This review evaluates the necessity and effectiveness of antibiotic prophylaxis in preventing prosthetic joint infections (PJI) following dental procedures in patients with joint implants.Material and methods: An extensive literature review was conducted, focusing on studies evalua...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2023-12-01
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| Series: | Romanian Journal of Oral Rehabilitation |
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| Online Access: | https://rjor.ro/dental-antibiotic-prophylaxis-in-total-joint-replacement-an-updated-review-of-guidelines-and-clinical-studies/ |
| _version_ | 1797366292003422208 |
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| author | Dan Mihailescu Norin Forna Paul Dan Sirbu Tudor Pinteala Mihnea Theodor Sirbu Dana Nicoleta Mihai Liliana Savin |
| author_facet | Dan Mihailescu Norin Forna Paul Dan Sirbu Tudor Pinteala Mihnea Theodor Sirbu Dana Nicoleta Mihai Liliana Savin |
| author_sort | Dan Mihailescu |
| collection | DOAJ |
| description | Aim of the study: This review evaluates the necessity and effectiveness of antibiotic prophylaxis in preventing prosthetic joint infections (PJI) following dental procedures in patients with joint implants.Material and methods: An extensive literature review was conducted, focusing on studies evaluating the link between dental care and PJI. Sources included PubMed and other databases, using terms such as dental care, joint prosthesis, and antibiotic prophylaxis. The review spanned papers from 2003 to 2023, with a focus on hip and knee joint replacements and dental procedure-related prophylaxis guidelines.Results: The review found that the prevalence of dental pathology in patients with total hip arthroplasty (THA) or total knee arthroplasty (TKA) varied significantly. Studies indicated no significant benefit of antibiotic prophylaxis in reducing PJI risk post-dental procedures. Furthermore, the incidence of PJI was not significantly different in patients receiving antibiotic prophylaxis compared to those who did not. It was observed that routine activities, such as chewing and brushing, contribute more to bacteremia and potential joint infection than dental procedures themselves.Conclusions: The evidence suggests that antibiotic prophylaxis for dental procedures in patients with joint prostheses is not universally beneficial and should not be routinely recommended. Emphasis on individual risk assessment, maintenance of good oral hygiene, and adherence to evidence-based guidelines is paramount. The study advocates for personalized approaches to PJI prevention, aligning with the goals of antibiotic stewardship and patient safety. |
| first_indexed | 2024-03-08T17:02:16Z |
| format | Article |
| id | doaj.art-ba95786d88ad4cf081fe7e6880ff6158 |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-03-08T17:02:16Z |
| publishDate | 2023-12-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-ba95786d88ad4cf081fe7e6880ff61582024-01-04T09:02:29ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612023-12-011546174DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIESDan Mihailescu0Norin Forna1Paul Dan Sirbu2Tudor Pinteala3Mihnea Theodor Sirbu4Dana Nicoleta Mihai5Liliana Savin6“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine, Department of Orthopedics and Traumatology“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine, Department of Orthopedics and Traumatology“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine, Department of Orthopedics and Traumatology“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine, Department of Orthopedics and Traumatology“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine.“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry“Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Medicine, Department of Orthopedics and TraumatologyAim of the study: This review evaluates the necessity and effectiveness of antibiotic prophylaxis in preventing prosthetic joint infections (PJI) following dental procedures in patients with joint implants.Material and methods: An extensive literature review was conducted, focusing on studies evaluating the link between dental care and PJI. Sources included PubMed and other databases, using terms such as dental care, joint prosthesis, and antibiotic prophylaxis. The review spanned papers from 2003 to 2023, with a focus on hip and knee joint replacements and dental procedure-related prophylaxis guidelines.Results: The review found that the prevalence of dental pathology in patients with total hip arthroplasty (THA) or total knee arthroplasty (TKA) varied significantly. Studies indicated no significant benefit of antibiotic prophylaxis in reducing PJI risk post-dental procedures. Furthermore, the incidence of PJI was not significantly different in patients receiving antibiotic prophylaxis compared to those who did not. It was observed that routine activities, such as chewing and brushing, contribute more to bacteremia and potential joint infection than dental procedures themselves.Conclusions: The evidence suggests that antibiotic prophylaxis for dental procedures in patients with joint prostheses is not universally beneficial and should not be routinely recommended. Emphasis on individual risk assessment, maintenance of good oral hygiene, and adherence to evidence-based guidelines is paramount. The study advocates for personalized approaches to PJI prevention, aligning with the goals of antibiotic stewardship and patient safety.https://rjor.ro/dental-antibiotic-prophylaxis-in-total-joint-replacement-an-updated-review-of-guidelines-and-clinical-studies/prosthetic joint infectionantibiotic prophylaxisdental proceduresjoint implantstotal hip arthroplastytotal knee arthroplastyoral hygiene |
| spellingShingle | Dan Mihailescu Norin Forna Paul Dan Sirbu Tudor Pinteala Mihnea Theodor Sirbu Dana Nicoleta Mihai Liliana Savin DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES Romanian Journal of Oral Rehabilitation prosthetic joint infection antibiotic prophylaxis dental procedures joint implants total hip arthroplasty total knee arthroplasty oral hygiene |
| title | DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES |
| title_full | DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES |
| title_fullStr | DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES |
| title_full_unstemmed | DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES |
| title_short | DENTAL ANTIBIOTIC PROPHYLAXIS IN TOTAL JOINT REPLACEMENT: AN UPDATED REVIEW OF GUIDELINES AND CLINICAL STUDIES |
| title_sort | dental antibiotic prophylaxis in total joint replacement an updated review of guidelines and clinical studies |
| topic | prosthetic joint infection antibiotic prophylaxis dental procedures joint implants total hip arthroplasty total knee arthroplasty oral hygiene |
| url | https://rjor.ro/dental-antibiotic-prophylaxis-in-total-joint-replacement-an-updated-review-of-guidelines-and-clinical-studies/ |
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