Insufficient Oral Behaviour and the High Need for Periodontal Treatment in Patients with Heart Insufficiency and after Heart Transplantation: A Need for Special Care Programs?
dental behaviour
dental care
heart transplantation
oral health
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
12 Oct 2019
12 Oct 2019
Historique:
received:
25
09
2019
revised:
08
10
2019
accepted:
10
10
2019
entrez:
17
10
2019
pubmed:
17
10
2019
medline:
17
10
2019
Statut:
epublish
Résumé
The aim of this cross-sectional study was the assessment of dental behaviour and oral health condition of heart transplant recipients (HTx) in comparison to patients with heart insufficiency (HI). Patients attending the Department for Cardiac Surgery, Leipzig Heart Center, Germany were recruited. Standardized questionnaires regarding dental behaviour and periodontal complaints were applied. A dental (decayed-, missing- and filled-teeth index) and periodontal examination (periodontal probing depth (PPD) and clinical attachment loss (CAL)) was performed. Based on the oral findings, dental and periodontal treatment need was determined. T-test, Mann-Whitney U test, Chi-square test, and Fisher-test ( A total of 201 patients (HTx: 112, HI: 89) were included. HTx patients were significantly more often allocated to dentists ( Both groups show insufficient oral behaviour and a high need for periodontal treatment. Special care programs for HTx candidates and recipients appear recommendable.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this cross-sectional study was the assessment of dental behaviour and oral health condition of heart transplant recipients (HTx) in comparison to patients with heart insufficiency (HI).
METHODS
METHODS
Patients attending the Department for Cardiac Surgery, Leipzig Heart Center, Germany were recruited. Standardized questionnaires regarding dental behaviour and periodontal complaints were applied. A dental (decayed-, missing- and filled-teeth index) and periodontal examination (periodontal probing depth (PPD) and clinical attachment loss (CAL)) was performed. Based on the oral findings, dental and periodontal treatment need was determined.
STATISTICS
METHODS
T-test, Mann-Whitney U test, Chi-square test, and Fisher-test (
RESULTS
RESULTS
A total of 201 patients (HTx: 112, HI: 89) were included. HTx patients were significantly more often allocated to dentists (
CONCLUSIONS
CONCLUSIONS
Both groups show insufficient oral behaviour and a high need for periodontal treatment. Special care programs for HTx candidates and recipients appear recommendable.
Identifiants
pubmed: 31614807
pii: jcm8101668
doi: 10.3390/jcm8101668
pmc: PMC6832627
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Clin Periodontol. 2018 Jun;45 Suppl 20:S1-S8
pubmed: 29926489
J Dent Res. 2014 Sep;93(9):840-2
pubmed: 25074493
J Clin Periodontol. 2012 Mar;39(3):213-28
pubmed: 22092606
Community Dent Oral Epidemiol. 2006 Apr;34(2):114-22
pubmed: 16515675
J Periodontol. 2012 Dec;83(12):1449-54
pubmed: 22420873
Circulation. 2007 Oct 9;116(15):1736-54
pubmed: 17446442
Anaerobe. 2013 Dec;24:90-3
pubmed: 24128801
Int Dent J. 2017 Aug;67(4):244-251
pubmed: 28295299
Transpl Int. 2011 Dec;24(12):1179-88
pubmed: 21902726
J Immunol Res. 2014;2014:636893
pubmed: 24741613
Transpl Infect Dis. 2018 Apr;20(2):e12832
pubmed: 29359871
BMC Oral Health. 2016 Aug 17;16(1):72
pubmed: 27531498
Cochrane Database Syst Rev. 2017 Nov 07;11:CD009197
pubmed: 29112241
J Heart Lung Transplant. 2016 Oct;35(10):1158-1169
pubmed: 27772668
J Clin Periodontol. 2013 Jan;40(1):41-52
pubmed: 23137266
ESC Heart Fail. 2017 May;4(2):169-177
pubmed: 28451454
Medicine (Baltimore). 2018 Sep;97(38):e12508
pubmed: 30235763
Exp Clin Transplant. 2019 Jan;17(Suppl 1):123-127
pubmed: 30777536
Clin Oral Investig. 2007 Jun;11(2):171-4
pubmed: 17431693
Cochrane Database Syst Rev. 2014 Jun 17;(6):CD002281
pubmed: 24934383
J Clin Periodontol. 1993 Oct;20(9):656-61
pubmed: 8227453
Curr Opin Organ Transplant. 2017 Jun;22(3):215-220
pubmed: 28266942
Cochrane Database Syst Rev. 2019 Apr 10;4:CD012018
pubmed: 30968949
Expert Rev Cardiovasc Ther. 2017 Jan;15(1):59-69
pubmed: 27918214
Clin Respir J. 2018 Feb;12(2):721-730
pubmed: 27860358