全髋关节和膝关节置换术患者的口腔健康问题：综述
Oral health implications in total hip and knee arthroplasty patients: A review.
作者信息
Young Joseph R, Bannon Annika L, Anoushiravani Afshin A, Posner Andrew D, Adams Curtis T, DiCaprio Matthew R
机构信息
Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY, USA.
Department of Family Medicine, Albany Medical Center, Albany, NY, USA.
出版信息
J Orthop. 2021 Feb 20;24:126-130. doi: 10.1016/j.jor.2021.02.021. eCollection 2021 Mar-Apr.
Abstract
Over the past two decades, oral health has emerged as a health care priority. Historically, patients greater than 65 years of age, the economically disadvantaged, members of racial or ethnic minority groups, or the disabled or home bound have experienced significant barriers to routine dental care. The connection between oral health care and periprosthetic joint infections (PJI) continues to be of importance to the orthopedic surgeon, as such infections are significantly morbid and costly. This review aims to introduce the importance of oral health as a small but crucial portion of an arthroplasty patient's overall perioperative management.
摘要
在过去二十年中，口腔健康已成为医疗保健的重点。从历史上看，65岁以上的患者、经济弱势群体、种族或少数族裔群体成员、残疾人或居家患者在接受常规牙科护理时面临重大障碍。口腔保健与假体周围关节感染（PJI）之间的联系对骨科医生来说仍然很重要，因为此类感染会带来严重的疾病负担且成本高昂。本综述旨在介绍口腔健康作为关节置换患者围手术期整体管理中一个虽小但至关重要的部分的重要性。
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2
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