The Association of Dental Caries or Dental Implant Placement Within One Year of Primary Total Hip Arthroplasty on Medical and Implant Complications.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE
    • Publication Information:
      Publication: New Brunswick, NJ : Taylor and Francis
      Original Publication: [New York, NY : Churchill Livingstone, c1986-
    • Subject Terms:
      Arthroplasty, Replacement, Hip*/adverse effects ; Arthroplasty, Replacement, Hip*/instrumentation ; Dental Caries*/etiology ; Dental Caries*/epidemiology ; Postoperative Complications*/etiology ; Postoperative Complications*/epidemiology ; Dental Implants*/adverse effects; Humans ; Female ; Male ; Middle Aged ; Aged ; Patient Readmission/statistics & numerical data ; Hip Prosthesis/adverse effects ; Prosthesis-Related Infections/etiology ; Prosthesis-Related Infections/epidemiology ; Adult
    • Abstract:
      Background: Total hip arthroplasty (THA) adverse events among patients who have dental diagnoses remain unclear. We sought to determine if dental caries or dental implant placements increased (1) 90-day medical complications, (2) 90-day readmissions, and (3) 2-year implant-related complications, including periprosthetic joint infections (PJIs) after THA.
      Methods: A nationwide database for primary THAs from 2010 to 2021 was queried to compare 3 patient cohorts. Patients who had a history of dental implants or caries within 12 months prior to THA (n = 1,179) or 12 months after THA (n = 1,218) were case-matched to patients who did not have dental history (n = 6,090) by age and comorbidities. Outcomes included 90-day complications, 90-day readmissions, and 2-year implant-related complications. Logistic regression models computed the odds ratios (ORs) of complications and readmissions. P values less than .006 were significant.
      Results: Patients who had dental caries or implant placement 12 months before or after THA experienced 1.6-fold greater odds of 90-day medical complications compared to case-matched patients. Readmissions within 90 days increased for patients who had a dental history before (11.7% versus 8.3%; OR: 1.49, P < .0001) and after (14.2% versus 8.3%; OR: 1.84, P < .0001) THA compared to case-matched patients. A dental caries diagnosis or dental implant placement within 12 months following THA increased 2-year implant complications compared to case-matched patients (15.2% versus 9.3%; OR: 1.69, P < .0001), including PJIs (5.3% versus 2.8%; OR: 1.98, P < .0001), dislocations (4.4% versus 2.7%; OR: 1.63, P = .002), and THA revisions (3.9% versus 2.5%; OR: 1.61, P = .005).
      Conclusions: Dental diagnoses within 12 months of THA are associated with increased medical complications. Dental diagnoses occurring 12 months after THA are associated with greater implant-related complications, including PJIs. Delaying invasive dental procedures for 12 months after THA may be advisable.
      (Copyright © 2024 Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: complications; dental work; infection; oral hygiene; periprosthetic joint infections; total hip arthroplasty
    • Accession Number:
      0 (Dental Implants)
    • Publication Date:
      Date Created: 20240422 Date Completed: 20240812 Latest Revision: 20240812
    • Publication Date:
      20240813
    • Accession Number:
      10.1016/j.arth.2024.04.047
    • Accession Number:
      38649065