Prevalence and clinical impact of dento-alveolar foci in periprosthetic joint infections: a retrospective cohort study of 213 cases - Report - MDSpire
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Frequency and Clinical Significance of Dento-Alveolar Infections in Periprosthetic Joint Infections: A Retrospective Analysis of 213 Cases

  • By

  • Christina Pempe

  • Gerhard Schmalz

  • Dirk Ziebolz

  • Andreas Roth

  • October 3, 2026

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Clinical Report: Frequency and Clinical Significance of Dento-Alveolar Infections

Overview

This study investigates the prevalence of dento-alveolar foci in patients with periprosthetic joint infections (PJI) and compares clinical outcomes between those with and without dental foci.

Background

Periprosthetic joint infection (PJI) is a significant complication following total joint arthroplasty, impacting patient outcomes and healthcare costs. The potential link between oral health and PJI has gained attention, as oral microorganisms may contribute to hematogenous infections.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • The study assessed 213 cases of hip or knee PJI for the presence of dento-alveolar foci.
  • Patients with dental foci may experience different clinical outcomes compared to those without.
  • Previous research indicates that oral or dental foci may account for up to 10% of late PJIs.
  • Viridans-group streptococci are commonly implicated in infections associated with dental foci.
  • The International Consensus Meeting does not endorse routine dental screening before arthroplasty.

Clinical Implications

Clinicians should consider the potential role of dental infections when evaluating patients with PJI. Further research is needed to clarify the impact of dental foci on treatment outcomes in PJI management.

Conclusion

The study underscores the importance of understanding the relationship between dental health and periprosthetic joint infections. Future investigations may help refine screening and management strategies for patients undergoing arthroplasty.

Related Resources & Content

  1. Archives of Orthopaedic and Trauma Surgery, 2026 -- High and strikingly early failure-rate following gram-negative periprosthetic joint infection – a retrospective cohort study on 72 cases
  2. Archives of Orthopaedic and Trauma Surgery, 2026 -- Comparative effectiveness of antimicrobial implant surface coatings in preventing orthopaedic implant-associated infections: a network meta-analysis
  3. Archives of Orthopaedic and Trauma Surgery, 2026 -- Routine intraoperative infection testing in presumed aseptic hip and knee revision: a matched cohort retrospective study
  4. Open Forum Infectious Diseases -- Favorable Outcomes in Periprosthetic Joint Infections Due to Corynebacterium spp. Following a Structured Surgical Protocol and Rifampicin Therapy for Implant Preservation
  5. AAOS Clinical Practice Guideline for the Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures
  6. AAOS Updates Clinical Practice Guideline to Prevent Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures
  7. Analysis of Prosthetic Joint Infections Following Invasive Dental Procedures in England
  8. https://new.aaos.org/globalassets/quality-and-practice-resources/dental/dental-2024/prevention-of-total-hip-and-knee-arthroplasty-pji-in-patients-undergoing-dental-procedures-cpg.pdf
  9. ADA council addresses orthopedic guideline on dental care for prosthetic joint patients | American Dental Association
  10. AUC
  11. Antibiotic Prophylaxis for Dental Procedures Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis - ScienceDirect
  12. AAOS Clinical Practice Guideline for the Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection in Patients Undergoing Dental Procedures

Original Source(s)

Prevalence and clinical impact of dento-alveolar foci in periprosthetic joint infections: a retrospective cohort study of 213 cases

  • by Christina Pempe, Gerhard Schmalz, Dirk Ziebolz, Andreas Roth

  • October 3, 2026

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