The Journal of Arthroplasty
Volume 26, Issue 6, Supplement , Pages 88-91, September 2011

What is the True Incidence of Dental Pathology in the Total Joint Arthroplasty Population?

  • John W. Barrington, MD

      Affiliations

    • Texas Center for Joint Replacement, Plano, Texas
    • Corresponding Author InformationReprint requests: John W. Barrington, MD, Texas Center for Joint Replacement, 5940 W. Parker Rd, #100, Plano, TX 75093.
  • ,
  • Thomas A. Barrington, DDS

      Affiliations

    • Ukiah, California

Received 16 September 2010; accepted 23 March 2011. published online 04 July 2011.

Abstract 

One million total joint arthroplasties (TJAs) are performed annually in the United States. The incidence of oral disease has not been documented in this population. To understand the scope of disease, a descriptive longitudinal population-based study sought to define the true incidence of dental pathology in the TJA population. One hundred consecutive TJA patients from a dedicated arthroplasty practice were sent for dental clearance, including oral examination, cleaning, radiographs, and treatment of active decay. The incidence of pathology was documented. Of 10 patients, 23 (23%) were treated before being cleared for arthroplasty. Sixty-six procedures were performed—2.9 problems per patient. No patient developed TJA infection. Routine preoperative dental clearance revealed 23% incidence of pathology, and no patient developed TJA infection.

Keywords: total joint arthroplasty, dental pathology, dental procedure

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 The Conflict of Interest statement related with this article can be found at doi: 10.1016/j.arth.2011.03.036.

PII: S0883-5403(11)00148-3

doi:10.1016/j.arth.2011.03.036

The Journal of Arthroplasty
Volume 26, Issue 6, Supplement , Pages 88-91, September 2011