- Routine antibiotic prophylaxis before dental procedures did not reduce PJI risk.
- Preoperative dental screening before arthroplasty did not lower postoperative infection rates.
- Oral antiseptic rinses before dental procedures are unnecessary.
- High-risk subgroups include immunocompromised patients and those with prior PJIs or revision/megaprosthesis procedures.
- A minimum of 3 weeks is recommended between invasive dental surgery and arthroplasty.
- At least 3 months should separate arthroplasty and most dental procedures.
- Guideline applies to total hip and knee arthroplasty only.
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AAOS Revises Dental Protocol for Joint Arthroplasty
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