Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases-Results after 12 Months Follow-Up

To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Patients from the Department of Cardiothoracic Surgery, Leipzig Heart...

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Bibliographic Details
Published in:Journal of clinical medicine 2020-01, Vol.9 (2), p.352
Main Authors: Ziebolz, Dirk, Friedrich, Sylvia, Binner, Christian, Rast, Josephine, Eisner, Mirjam, Wagner, Justus, Schmickler, Jan, Kottmann, Tanja, Haak, Rainer, Borger, Michael A, Lehmann, Sven, Oberbach, Andreas, Garbade, Jens, Schmalz, Gerhard
Format: Article
Language:English
Subjects:
Antibiotics
Cardiovascular disease
Clinical medicine
Dental care
Dentists
Disease prevention
Gender
Heart failure
Heart surgery
Informed consent
Oral hygiene
Periodontics
Questionnaires
Statistical analysis
Teeth
Transplants & implants
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Summary:To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Patients from the Department of Cardiothoracic Surgery, Leipzig Heart Centre, Germany were examined at baseline and after 12 months. A dental (decayed-, missing-, and filled-teeth index (DMF-T)) and periodontal examination (periodontal probing depth, clinical attachment loss) was performed. At baseline, patients received a standardized recommendation to visit their dentist. At follow-up, a standardized questionnaire regarding the dental consultation was applied. Eighty-eight participants (HTx: 31, LVAD: 43, HF: 14) were included. The majority of patients (79.5%) followed the recommendation to visit their dentist. Within the total cohort, periodontal treatment need was significantly reduced from 91% (baseline) to 75% (follow-up; < 0.01). Only 10% of total cohort stated that they received periodontal treatment. The outcome in periodontal and dental treatment need at follow-up appointment revealed no statistically significant associations to the questionnaire regarding dentist consultation ( > 0.05). Conclusions The simple recommendation to visit the dentist appears not enough to obtain sufficient dental and periodontal conditions in patients with severe heart diseases. Thereby, a lack in periodontal treatment of patients with HF, HTx and LVAD was identified, making interdisciplinary dental special care programs recommendable.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm9020352