With the development of technologies, implant restorations now can be more customized to meet individual patients' needs.
Dental Specialist Group
American Board Certified Prosthodontist, Endodontist, and Oral Medicine Specialist
The uncontrolled dental infections might cause bacteriemia which might result in joint implant infection or endocarditis. To mitigate the risks, general dental clearance is needed before scheduling the joint or heart surgery. During the dental clearance, the goal is to control the active infection to reach a healthy level. Patients do not need full mouth restoration or veneers to restore the function or esthetics just for the purpose of dental clearance.
Based on our training, experiences, and the references
1) ADA guidelines "Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures- Executive Summary on the AAOS/ADA Clinical Practice Guideline"
2) Frey, C et. al World J Orthop. 2019 Dec 18; 10(12): 416–42. Impact of dental clearance on total joint arthroplasty: A systematic review.
3) Berks County Dental Society: Orthopedic clearance at https://berkscountydental.org/orthopedic-clearance
Prosthodontist Dr. Qing, Endodontist Dr. Yang, and Oral Medicine specialist Dr. Idahosi recommended the following procedures for the dental clearance.
1) Comprehensive exam
2) Periodontal exam
3) FMX if not taken within 3 years.
4) full mouth debridement if no regular tooth cleaning.
5) Treatment to control active dental infection including periodontitis, oral mucosa active bacterial or viral infections, Pulpitis or periapical periodontitis, gross decay, loosen crowns or restorations.
You Might Also Enjoy...
With the development of technologies, implant restorations now can be more customized to meet individual patients' needs.
Regular complete denture is probably the most economical way for full-mouth reconstruction. People wonder without implants or glue, can they just stay by themselves?
Advanced periodontitis----saving all savable teeth. Full-mouth functional rehabilitation Smile makeover
Donavan's classical article reported high-quality crowns made by board-certified Prosthodontists had a survival rate of 94.1% for 40 years ( Donavan T, et, al Journal of Esthetic and Restorative Dentistry 2004,16(3):194-204). There are reasons behind it
Extraction of the hopeless teeth, placement of dental implants, and delivery of new fixed teeth in one day
I can eat the corn on the cob now. Board-certified Prosthodontist Dr. Qing used the more cost-effective Implant-retained overdenture, injection molding and layering staining technique to restore the patient’s oral function and natural Esthetics.