Evidence map›Paper›PMID 31908990›Full record

ReviewWorld journal of orthopedics2019

Impact of dental clearance on total joint arthroplasty: A systematic review.

Christopher Frey, Sergio M Navarro, Terri Blackwell, Carla Lidner, H Del Schutte

Abstract readReview
In one paragraph

Review in World journal of orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Poor preoperative oral status is associated with early wound infection after joint replacement surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Observational
  7. Article
  8. [Arthroplasty and oral health-an overview].Orthopadie (Heidelberg, Germany) · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christopher FreyDepartment of Orthopedic Surgery, Stanford Medicine, Redwood City, CA 94063, United States. chris1fr@stanford.edu.
Sergio M NavarroDepartment of Surgery, Baylor College of Medicine, Houston, TX 77030, United States.
Terri BlackwellComprehensive Joint Program, Charleston Institute for Advanced Orthopedics, Charleston, SC 29464, United States.
Carla LidnerDentistry, Orange County Dental Society, Orange, CA 92868, United States.
H Del SchutteComprehensive Joint Program, Charleston Institute for Advanced Orthopedics, Charleston, SC 29464, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many orthopedic surgeons require that their patients obtain dental clearance before elective total joint arthroplasty (TJA). However, there is no consensus substantiating the practice. To this end, a systematic review on the prevalence of dental pathology in TJA patients, risk factors for failing dental screening, and impact of dental evaluations was performed. Literature was sourced from PubMed and Scopus databases. Six papers were sourced from the initial search, one study was extracted from the references of the original six manuscripts, and one new publication was retrieved from a second search conducted after the first. The prevalence of dental pathology ranged from 8.8% to 29.4% across studies. Two of four papers reported lower than average or improvements in post-operative infection with pre-operative dental evaluations while two found no such association. There is insufficient evidence to support universal dental clearance before TJA.

Indexed as

Dental screeningPeriprosthetic joint infectionTotal hip arthroplastyTotal joint arthroplastyTotal knee arthroplasty

Identifiers

PMID31908990
PMCPMC6937426

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.