Objective: The aim of this cross-sectional cohort study was to evaluate a comprehensive
dental examination and referral concept for patients prior to endoprosthesis (EP) implantation in
an interdisciplinary setting. Methods: Patients, who were prepared for EP surgery in the clinic
for orthopaedics, were referred to the dental clinic for a dental examination. Thereby, dental and
periodontal treatment need, radiographic and temporomandibular joint findings were assessed.
Based on oral and radiographic investigation, a risk classification for potential source of prosthetic
infection was performed. If potential oral foci of EP infection were present (e.g., apically radiolucent
teeth, severe periodontitis or additional inflammatory findings), patients were classified as at high risk
for EP infection with oral origin. Those individuals were allocated to their family dentist or special
clinic for dental treatment prior to EP surgery. Results: A total of 311 patients were included (mean
age: 67.84 10.96 years, 51% male). A dental treatment need of 33% was found, while the periodontal
treatment need was 83%. Thirty-one percent of patients showed at least one apical radiolucency (a
sign of chronic infection/inflammation). Furthermore, additional findings such as radiographic signs
of sinusitis maxillaris were found in 24% of patients. Temporomandibular disease was probable in
17% of individuals. One-third (34%) were assigned to the high risk group for an EP infection with
oral origin. Conclusion: German patients before EP have a high periodontal treatment need and show
frequently (34%) a potential oral focus of infection, underlining the necessity of including dental
examination and risk stratification as part of the pre-operative assessment prior to EP implantation.
Therefore, an approach as applied in this study appears reasonable for those individuals.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:87529 |
| Date | 20 October 2023 |
| Creators | Schmalz, Gerhard, Reuschel, Florentine, Bartl, Markus, Schmidt, Laura, Runge, Janine, Haak, Rainer, Goralski, Szymon, Roth, Andreas, Ziebolz, Dirk |
| Publisher | MDPI |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 3686 |
Page generated in 0.0021 seconds