Pempe Christina, Schmalz Gerhard, Ziebolz Dirk, Roth Andreas
Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
Orthopadie (Heidelb). 2024 Oct;53(10):782-788. doi: 10.1007/s00132-024-04550-2. Epub 2024 Aug 13.
Despite limited evidence for a preoperative dental screening examination and needs-based focal rehabilitation, as well as the need for antibiotic prophylaxis prior to invasive dental procedures, oral health is and remains a relevant topic in arthroplasty. The aspect of oral health should not be neglected in the future in connection with periprosthetic infections and should continue to be the subject of intensive research. The frequency of conspicuous dental findings in middle and old age underlines the importance of this problem. A dental examination prior to arthroplasty implantation can generally contribute to minimizing the risk of arthroplasty infection. It would be desirable for further studies to provide evidence on this topic in order to make recommendations for action. Independently of this, the development of an interdisciplinary guideline (arthroplasty and dentistry) on this topic should be encouraged. This could help to ensure that standardized treatment procedures are integrated into everyday clinical practice across the board.
尽管术前牙科筛查检查、基于需求的局部康复以及侵入性牙科手术前预防性使用抗生素的证据有限,但口腔健康在关节置换术中一直是一个相关话题。在未来,与假体周围感染相关的口腔健康问题不应被忽视,仍应继续成为深入研究的主题。中老年人群中明显牙科检查结果的频率凸显了这个问题的重要性。关节置换植入术前的牙科检查通常有助于降低关节置换感染的风险。希望有进一步的研究能为该主题提供证据,以便提出行动建议。除此之外,应鼓励制定关于该主题的跨学科指南(关节置换与牙科)。这有助于确保标准化治疗程序全面融入日常临床实践。