Frequent dental scaling is associated with a reduced risk of periprosthetic infection following total knee arthroplasty: A nationwide population-based nested case- control study

Ta Wei Tai, Tzu Chieh Lin, Chia Jung Ho, Yea Huei Kao Yang, Chyun Yu Yang

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5 Citations (Scopus)

Abstract

Oral bacteremia has been presumed to be an important risk factor for total knee arthroplasty (TKA) infection. We aimed to investigate whether dental scaling could reduce the risk of TKA infection. A nested case-control study was conducted to compare 1,291 TKA patients who underwent resection arthroplasty for infected TKA and 5,004 matched controls without infection in the TKA cohort of Taiwan's National Health Insurance Research Database (NHIRD). The frequency of dental scaling was analyzed. Multiple conditional logistic regression was used to assess the frequency of dental scaling and the risk of TKA infection. The percentage of patients who received dental scaling was higher in the control group than in the TKA infection group. The risk for TKA infection was 20% lower for patients who received dental scaling at least once within a 3-year period than for patients who never received dental scaling. Moreover, the risk of TKA infection was reduced by 31% among patients who underwent more frequent dental scaling (5-6 times within 3 years). Frequent and regular dental scaling is associated with a reduced risk of TKA infection.

Original languageEnglish
Article numbere0158096
JournalPloS one
Volume11
Issue number6
DOIs
Publication statusPublished - 2016 Jun

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Dental Scaling
Arthroplasty
Knee Replacement Arthroplasties
knees
case-control studies
Case-Control Studies
teeth
Infection
infection
Population
health insurance
Health insurance
bacteremia
National Health Programs
resection
Infection Control
Bacteremia
Taiwan
mouth
disease control

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General

Cite this

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abstract = "Oral bacteremia has been presumed to be an important risk factor for total knee arthroplasty (TKA) infection. We aimed to investigate whether dental scaling could reduce the risk of TKA infection. A nested case-control study was conducted to compare 1,291 TKA patients who underwent resection arthroplasty for infected TKA and 5,004 matched controls without infection in the TKA cohort of Taiwan's National Health Insurance Research Database (NHIRD). The frequency of dental scaling was analyzed. Multiple conditional logistic regression was used to assess the frequency of dental scaling and the risk of TKA infection. The percentage of patients who received dental scaling was higher in the control group than in the TKA infection group. The risk for TKA infection was 20{\%} lower for patients who received dental scaling at least once within a 3-year period than for patients who never received dental scaling. Moreover, the risk of TKA infection was reduced by 31{\%} among patients who underwent more frequent dental scaling (5-6 times within 3 years). Frequent and regular dental scaling is associated with a reduced risk of TKA infection.",
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AU - Ho, Chia Jung

AU - Yang, Yea Huei Kao

AU - Yang, Chyun Yu

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