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Lack in periodontal care of patients suffering from severe heart diseases - results after 12 months follow-up

: 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

Volltext ()

Journal of Clinical Medicine 9 (2020), Nr.2, Art. 352, 13 S.
ISSN: 2077-0383
Zeitschriftenaufsatz, Elektronische Publikation
Fraunhofer IZI ()
dental care; heart failure; heart transplantation; left-ventricular assist device; oral health

Background: 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.
Methods: 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.
Results: 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; p < 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 (p > 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.