The American Academy of Orthopaedic Surgeons Appropriate Use Criteria for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures.

Abstract

These Appropriate Use Criteria (AUC) for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures are based on a review of the available literature regarding the management of patients with orthopaedic implants undergoing dental procedures1 as well as a list of clinical patient scenarios constructed by an expert Writing Panel and voted on by a separate multidisciplinary Voting Panel. The AUC development methods are adapted from the RAND/UCLA Appropriateness Method (RAM)2. The full Appropriate Use Criteria for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures, with the Appropriate Use Criteria tables, final appropriateness ratings, and a list of panel members, can be accessed on the AAOS web site at: http://www.aaos.org/auc. The AUC is also available as a web-based application; to access this application, please visit http://www.orthoguidelines.org/auc. Members of the Writing Panel developed a list of 64 patient scenarios regarding the management of patients with orthopaedic implants based on the identified patient indications (Table I) and defined sub-classifications along with 1 treatment (Table II), for a total of 64 antibiotic prophylaxis voting items (64 scenarios × 1 treatment) (Tables I and II). View this table: TABLE I Patient Indications and Sub-Classifications View this table: TABLE II List of Treatments Rated for Appropriateness* …