Patients scheduled to undergo esophageal surgery should have the highest priority for perioperative oral management triage: a cross-sectional study

Objectives An increasing number of patients visiting the dental office have a growing need for perioperative oral management (POM) to prevent postoperative complications. Therefore, it is necessary to determine which patients should receive preferential POM. This study investigated the dental status...

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Published in:General thoracic and cardiovascular surgery 2022-04, Vol.70 (4), p.378-385
Main Authors: Yamanaka-Kohno, Reiko, Shirakawa, Yasuhiro, Yokoi, Aya, Inoue-Minakuchi, Mami, Kobayashi, Motomu, Noma, Kazuhiro, Morita, Manabu, Kuboki, Takuo, Morimatsu, Hiroshi, Soga, Yoshihiko
Format: Article
Language:English
Subjects:
Body mass index
Cardiac Surgery
Cardiology
Cross-sectional studies
Dental caries
Dentistry
Esophagus
Gum disease
Gynecological surgery
Hospitals
Intubation
Males
Medicine
Medicine & Public Health
Original Article
Patients
Prostheses
Recovery (Medical)
Surgical Oncology
Teeth
Thoracic Surgery
Variance analysis
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Summary:Objectives An increasing number of patients visiting the dental office have a growing need for perioperative oral management (POM) to prevent postoperative complications. Therefore, it is necessary to determine which patients should receive preferential POM. This study investigated the dental status of patients scheduled to undergo surgery and addressed the priority for POM. Methods This retrospective study included a total of 150 patients who were scheduled to undergo surgery at the Department of Respiratory Surgery (DRS), Department of Neurological Surgery (DNS), Department of Gynecological Surgery (DGS), Department of Breast and Endocrine Surgery (DBES), and Department of Esophageal Surgery (DES) managed by the Perioperative Management Center of Okayama University Hospital. We compared the general and dental status of patients among the five groups. Results The DES group had significantly fewer teeth than the DBES group ( p  = 0.012), more severe periodontitis than both the DBES ( p  = 0.005) and DNS groups ( p  = 0.020), and poorer molar occlusal support status than both the DBES ( p  = 0.002) and DGS groups ( p  = 0.041). The DES group exhibited a significantly higher median age ( p  = 0.002), a higher ratio of males ( p  
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-021-01757-4