Background: Patients scheduled for heart valve surgery should be free of any oral infectious disorders that might pose a risk in the postoperative period. Few studies have been made on the dental conditions of such patients prior to surgery. The present study describes the most frequent prior oral diseases in this population group. Material and Methods: A prospective, observational case-control study was designed involving 60 patients (30 with heart valve disease and 30 controls, with a mean age of 71 years in both groups). A dental exploration was carried out, with calculation of the DMFT (decayed, missing and filled teeth) index and recording of the periodontal parameters (plaque index, gingival bleeding index, periodontal pocket depth, and attachment loss). The oral mucosa was also examined, and panoramic X-rays were used to identify possible intrabony lesions. Results: Significant differences in bacterial plaque index were observed between the two groups (p < 0.05), with higher scores in the patients with valve disease. Probing depth and the presence of moderate pockets were also greater in the patients with valve disease than among the controls (p < 0.01). Sixty percent of the patients with valve disease presented periodontitis. Conclusions: Patients scheduled for heart valve surgery should be examined for possible active periodontitis before the operation. Those individuals found to have periodontal disease should receive adequate periodontal treatment before heart surgery.

Silvestre, F., Gil-raga, I., Martinez-herrera, M., Lauritano, D., Silvestre-rangil, J. (2017). Prior oral conditions in patients undergoing heart valve surgery. JOURNAL OF CLINICAL AND EXPERIMENTAL DENTISTRY, 9(11), e1287-e1291 [10.4317/jced.53902].

Prior oral conditions in patients undergoing heart valve surgery

Lauritano, D
Membro del Collaboration Group
;
2017

Abstract

Background: Patients scheduled for heart valve surgery should be free of any oral infectious disorders that might pose a risk in the postoperative period. Few studies have been made on the dental conditions of such patients prior to surgery. The present study describes the most frequent prior oral diseases in this population group. Material and Methods: A prospective, observational case-control study was designed involving 60 patients (30 with heart valve disease and 30 controls, with a mean age of 71 years in both groups). A dental exploration was carried out, with calculation of the DMFT (decayed, missing and filled teeth) index and recording of the periodontal parameters (plaque index, gingival bleeding index, periodontal pocket depth, and attachment loss). The oral mucosa was also examined, and panoramic X-rays were used to identify possible intrabony lesions. Results: Significant differences in bacterial plaque index were observed between the two groups (p < 0.05), with higher scores in the patients with valve disease. Probing depth and the presence of moderate pockets were also greater in the patients with valve disease than among the controls (p < 0.01). Sixty percent of the patients with valve disease presented periodontitis. Conclusions: Patients scheduled for heart valve surgery should be examined for possible active periodontitis before the operation. Those individuals found to have periodontal disease should receive adequate periodontal treatment before heart surgery.
Articolo in rivista - Articolo scientifico
Aortic; Heart surgery; Mitral; Periodontitis; Valve disease; Dentistry (all)
English
2017
9
11
e1287
e1291
open
Silvestre, F., Gil-raga, I., Martinez-herrera, M., Lauritano, D., Silvestre-rangil, J. (2017). Prior oral conditions in patients undergoing heart valve surgery. JOURNAL OF CLINICAL AND EXPERIMENTAL DENTISTRY, 9(11), e1287-e1291 [10.4317/jced.53902].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/175585
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