[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-277928-105":3,"doc-detail-277928-en":81,"detail-sidebar-cat-1-en-105":96},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","total-joint-replacement-pre-operative-dental-clearance","Total Joint Replacement - Pre-Operative Dental Clearance","","Pre-operative dental clearance form for patients scheduled for total joint replacement surgery at Skokie or Highland Park Hospital. Requests dentist evaluation at least two weeks before surgery to allow completion of necessary dental work and to reduce post-surgical infection risk from periodontal disease or untreated dental caries. Includes sections for patient details, dental exam findings, pre-operative recommendations, required procedures before surgery, and potential procedures after surgery. Provides signature fields and office contact, plus instructions to send H&P and testing results by fax or phone if EPIC access is unavailable.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/total-joint-replacement-pre-operative-dental-clearance/277928/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/total-joint-replacement-pre-operative-dental-clearance/277928.png","ImageObject",442,249,{"name":42,"@type":43},"Dipper","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-15",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",16,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"When must the patient be evaluated by the dentist before total joint replacement surgery?","Question",{"text":63,"@type":64},"The patient should be evaluated at least two weeks prior to surgery so any required dental work can be completed in time.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why is a dental exam required before the joint replacement?",{"text":68,"@type":64},"To minimize complications from infection after surgery, particularly infections that may originate from chronic periodontal disease or neglected dental caries.",{"name":70,"@type":61,"acceptedAnswer":71},"What information does the form collect and where is it recorded?",{"text":72,"@type":64},"It collects the patient’s name, date of birth, date of joint replacement, and visit date, and it includes a findings section and pre-operative recommendations with required procedures before and after surgery.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},277928,1789505373,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":22,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":92,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":93,"faqs":94,"seo_title":95,"seo_description":12,"update_tm":80,"read_time":22},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd",17,"—120.5  \n# TOTAL JOINT REPLACEMENTPRE-OPERATIVE DENTAL CLEARANCE\n\nDATE:             \nDear Doctor:  \nYour patient,                  ,is scheduled for a joint replacement surgery onat Skokie/Highland Park Hospital.  \nPlease have the patient evaluated AT LEAST TWO WEEKS prior to surgery.This allows timeto complete any necessary dental work when required.  \nTo minimize the complication of an infection post total joint surgery,which might originate fromchronic periodontal disease or neglected dental caries,we ask that each patient have a dentalexam and any needed treatment completed prior to their surgery.Your professional evaluation ofour mutual patient will be greatly appreciated.  \nAs you are aware,prophylaxis with antibiotics is necessary after totaljoint replacement.Thank you for your cooperation and assistance.  \nIf you have any questions,please do not hesitate to call us at(847)866-7846.  \nThank you,  \nDr.Anand SrinivasanOrthopaedic Surgery  \nAnand Srinivasan,M.D.Orthopedic Surgery  \nPatient's name:                                        \nPatient's date of Birth:                      \nDate of Joint Replacement:            \nVisit date:              \nFINDINGS:  \n# Pre-Operative Recommendations:\n\n##     (a)No treatment required\n\n    (b)The following procedures are required before surgery:  \n    (c)The following procedures will be required two to three months after surgery:  \nDentist's Signature:  \nPrint name:  \nDDS Office Phone\\#:  \nIf your office does not have EPIC access:please FAX H&P and testing results to  \nSkokie:1-847-933-6772 or Call Skokie:1-847-933-6762 If you have any question.  \nHighland Park:1-847-480-3988 or Call HP:1-847-480-2793 If you have any question.","cbCailzZWb53l8Av","https://ap.wps.com/l/cbCailzZWb53l8Av","pdf",439129,"English","# Pre-Operative Recommendations\n## (a) No treatment required\n## (b) Procedures required before surgery\n## (c) Procedures required two to three months after surgery","[{\"question\":\"When must the patient be evaluated by the dentist before total joint replacement surgery?\",\"answer\":\"The patient should be evaluated at least two weeks prior to surgery so any required dental work can be completed in time.\"},{\"question\":\"Why is a dental exam required before the joint replacement?\",\"answer\":\"To minimize complications from infection after surgery, particularly infections that may originate from chronic periodontal disease or neglected dental caries.\"},{\"question\":\"What information does the form collect and where is it recorded?\",\"answer\":\"It collects the patient’s name, date of birth, date of joint replacement, and visit date, and it includes a findings section and pre-operative recommendations with required procedures before and after surgery.\"}]","Total Joint Replacement - Pre-Operative Dental Clearance | PDF",{"code":4,"msg":82,"data":97},[98,103,108,113,118,122,125,130,135],{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},11,"Presentations",90,"presentations",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},12,"Resumes",80,"resumes",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},14,"Invoices",70,"invoices",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},15,"Posters",60,"posters",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},"Social Media",50,"social-media",{"id":86,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":123,"slug":124},40,"forms",{"id":126,"doc_module":22,"doc_module_name":25,"category_name":127,"show_sort_weight":128,"slug":129},18,"Letters",30,"letters",{"id":131,"doc_module":22,"doc_module_name":25,"category_name":132,"show_sort_weight":133,"slug":134},21,"Paper Templates",5,"papers-templates",{"id":136,"doc_module":22,"doc_module_name":25,"category_name":137,"show_sort_weight":4,"slug":138},158,"General","general-158"]