Texas Center for Joint Replacement, 5940 W. Parker Rd, #100, Plano, TX 75093, USA.
J Arthroplasty. 2011 Sep;26(6 Suppl):88-91. doi: 10.1016/j.arth.2011.03.036. Epub 2011 Jul 1.
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.
美国每年进行 100 万例全关节置换术（TJA）。尚未在该人群中记录口腔疾病的发病率。为了了解疾病的范围，一项描述性的纵向基于人群的研究旨在确定 TJA 人群中牙科病理学的真实发病率。从专门的关节置换实践中连续选择了 100 名 TJA 患者进行牙科清除，包括口腔检查、清洁、放射线检查和对活动性龋齿的治疗。记录了病理的发生率。在被清除接受关节置换术前，有 23 名（23％）患者接受了治疗。进行了 66 例手术 - 每位患者 2.9 个问题。没有患者发生 TJA 感染。常规术前牙科清除显示出 23％的病理发生率，并且没有患者发生 TJA 感染。
