Amy Steinhour is clinical director of the PA program at Florida Gulf Coast University in Fort Myers, Fla., and a doctoral student at A.T. Still University in Kirksville, Mo. Jeremy Hodder is an adjunct faculty member at A.T. Still University and supervisor of risk management services at the Mutual Insurance Company of Arizona in Phoenix, Ariz. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2020 Oct;33(10):50-52. doi: 10.1097/01.JAA.0000660180.96512.70.
Total joint arthroplasty frequently is performed in the United States to treat degenerative hip and knee arthritis. Despite the routine nature of this procedure, recommendations about dental prophylaxis in patients with prosthetic joints have varied considerably over the past decade. In 2016, the American Academy of Orthopaedic Surgeons (AAOS) published appropriate use criteria for dental prophylaxis in patients with orthopedic implants. Despite these recommendations, discrepancies in prescribing practices persist, and controversy surrounding this topic remains prevalent in the medical literature. This article reviews the AAOS appropriate use criteria and discusses the ongoing controversy about the use of dental prophylaxis in patients with orthopedic implants.
全关节置换术在美国常用于治疗退行性髋关节和膝关节关节炎。尽管这一手术很常见，但在过去十年中，关于人工关节患者的口腔预防措施的建议差异很大。2016 年，美国矫形外科医师学会（AAOS）发布了有关矫形植入物患者口腔预防措施的适当使用标准。尽管有这些建议，但在开出处方的做法上仍存在差异，而且这一话题在医学文献中仍然存在争议。本文回顾了 AAOS 的适当使用标准，并讨论了关于在矫形植入物患者中使用口腔预防措施的持续争议。
