Should routine dental clearance be obtained prior to total joint arthroplasty  (hip/knee/shoulder/ankle)?

Authors: William V. Arnold, Juan Ottolenghi, Mauro Belzino

RECOMMENDATION: No. While dental pathology has been reported in a subset of patients undergoing joint arthroplasty, there are no prospective controlled studies supporting the role of pre-surgical dental clearance in reducing the rates of subsequent periprosthetic joint infections (PJIs).

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 76%, Disagree: 17%, Abstain:7% (Super Majority, Strong Consensus)

RATIONALE: 

G3