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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?

: Binner, Christian; Wagner, Justus; Schmalz, Gerhard; Eisner, Mirjam; Rast, Josephine; Kottmann, Tanja; Haak, Rainer; Oberbach, Andreas; Borger, Michael A.; Garbade, Jens; Ziebolz, Dirk

Volltext ()

Journal of Clinical Medicine 8 (2019), Nr.10, Art. 1668, 10 S.
ISSN: 2077-0383
Zeitschriftenaufsatz, Elektronische Publikation
Fraunhofer IZI ()
dental care; heart transplantation; oral health; dental behaviour

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: 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: T-test, Mann-Whitney U test, Chi-square test, and Fisher-test (p < 0.05).
Results: A total of 201 patients (HTx: 112, HI: 89) were included. HTx patients were significantly more often allocated to dentists (p < 0.01). Furthermore, the HTx patients rated feeling informed appropriately about oral health more often (p < 0.01). HTx patients used interdental cleaning (p < 0.01) and mouth rinse (p = 0.02) more often than HI patients. No differences between groups were present regarding dental status and periodontitis severity (p > 0.05). Periodontal treatment need was high, showing prevalence of 79.5% (HTx) and 87.6% (HI, p = 0.14), respectively.
Conclusions: Both groups show insufficient oral behaviour and a high need for periodontal treatment. Special care programs for HTx candidates and recipients appear recommendable.