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. 2022 Jun 26;11(13):3686. doi: 10.3390/jcm11133686

Table 1.

Definition of the three risk groups for endoprosthesis (EP) infection with oral origin.

Low Risk Moderate Risk High Risk
  • No (invasive) dental or periodontal treatment need

EP implantation without any oral health considerations.
  • Carious lesions with dentin exposure, with healthy pulp status

  • Moderate periodontal treatment need, i.e., periodontal screening index (PSI) ≥ 3 in maximum of two sextants

  • No apical radiolucency, no inflammatory findings in radiographs

EP implantation with a subsequent referral to the dentist at 6 months after EP implantation.
  • Profound caries, touching the pulp chamber

  • Severe periodontal treatment need (e.g., suppuration, endo-perio-lesion)

  • Apical radiolucencies

  • (partly) retained teeth with pericoronal inflammation, inflammation in jaw bone, additional inflammatory findings

EP implantation is deferred until potential dental focus is therapized. Referral to family dentist and/or specialists for demand-oriented dental therapy using standardized forms.