Prior to joint replacement surgery, it is important to assess the periodontal health of the patient. If active periodontal disease is present prior to joint replacement surgery, it is critical that it be treated. The potential for infection of the prosthetic joint and possible failure, although rare, does exist. It is therefore important to evaluate and treat oral bacterial infections prior to surgery.
Fibromyalgia is a chronic (rheumatic) disease characterized by pain and fatigue. A recently published study that followed a large group of patients over 15 years indicated a bi-directional relationship between periodontal disease and fibromyalgia. Patients with periodontal disease had a greater risk of fibromyalgia; likewise fibromyalgia patients had a greater risk of developing periodontal disease. Because of this relationship, patients suffering with fibromyalgia should be evaluated by a periodontist. If periodontal disease is a factor, a report should then be sent to the treating rheumatogist or orthopedic physician