Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures

J Am Acad Orthop Surg. 2013 Mar;21(3):180-9. doi: 10.5435/JAAOS-21-03-180.

Abstract

The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, "Antibiotic Prophylaxis in Bacteremia in Patients With Joint Replacement," published in 2009. Based on the best current evidence and a systematic review of published studies, three recommendations have been created to guide clinical practice in the prevention of orthopaedic implant infections in patients undergoing dental procedures. The first recommendation is graded as Limited; this recommendation proposes that the practitioner consider changing the long-standing practice of routinely prescribing prophylactic antibiotic for patients with orthopaedic implants who undergo dental procedures. The second, graded as Inconclusive, addresses the use of oral topical antimicrobials in the prevention of periprosthetic joint infections. The third recommendation, a Consensus statement, addresses the maintenance of good oral hygiene.

Publication types

  • Practice Guideline

MeSH terms

  • Anti-Infective Agents / administration & dosage
  • Antibiotic Prophylaxis
  • Bacteremia / epidemiology
  • Dental Implants*
  • Evidence-Based Dentistry
  • Evidence-Based Medicine
  • Humans
  • Incidence
  • Index of Orthodontic Treatment Need
  • Oral Hygiene
  • Oral Surgical Procedures / adverse effects*
  • Prosthesis-Related Infections / prevention & control*

Substances

  • Anti-Infective Agents
  • Dental Implants