Does poor dental hygiene increase the risk of subsequent surgical site infection/periprosthetic joint infection (SSI/PJI)? If yes, is there a role for obtaining dental clearance in patients with poor dental hygiene to reduce the risk of SSI/PJI?

Authors: Martin Clauss, Oscar Ares, Max Greenky

RECOMMENDATION: There is a small yet real risk of hematogenous spread of oral pathogens to patients undergoing arthroplasty. Patients with poor oral hygiene undergoing arthroplasty are at increased risk of subsequent SSI/PJI. Therefore, patients with oral disease and poor dentition should be identified and optimized prior to elective arthroplasty.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 92%, Disagree: 5%, Abstain: 3% (Super Majority, Strong Consensus)

RATIONALE:

G2