Abstract:Aims The aim of this cross-sectional study was the assessment of dental behaviour, oral health, as well as oral health-related quality of life of patients with left ventricular assist device (LVAD). Methods and results Patients (128) with LVAD were recruited A healthy control group (HC, n = 113) was included. Dental behaviour was assessed with a standardized questionnaire, and to evaluate oral health-related quality of life, the German short form of oral health impact profile was applied. The presence of decay… Show more
“…Alongside with the potential relationship between periodontal and cardiovascular diseases [ 5 ], a high periodontal burden in severely heart diseased patients appears plausible. The high periodontal burden and treatment need of patients with severe HF, after LVAD and/or HTx has been reported previously and appears an expectable finding [ 9 – 11 ].…”
Section: Discussionmentioning
confidence: 70%
“…Patients with advanced HF, especially if treated with either LVAD or HTx were recently reported to show a lack in periodontal care [ 9 – 11 ]. Thereby, a high periodontal treatment need, alongside with more severe periodontal disease burden was found in these individuals [ 9 – 11 ]. This might be hazardous, because this patient group is a vulnerable clientele, especially if treated with an HTx [ 12 ].…”
Background
This cross-sectional study aimed in the comparison of periodontal parameters, number of remaining teeth and oral behaviour between patients with ischemic- (ICM) and non-ischemic dilative cardiomyopathy (DCM).
Methods
Patients with HF from the Department for Cardiac Surgery at the Heart Center Leipzig were included. The two groups (ICM and DCM) were composed by matching according to age, gender and smoking habits. All participants received a comprehensive periodontal examination, including a periodontal probing on six measurement points of each tooth.
Results
A total of 226 patients (n = 113 each group) was included. Patients in DCM group used interdental cleaning significantly more often than ICM (23.9% vs. 12.5%, p = 0.04). The majority of patients in both groups (ICM: 83.6%, DCM: 84.6%, p = 0.23) were diagnosed with stage III–IV periodontitis. Periodontal parameters were comparable between groups (p > 0.05). Variance analysis revealed no influence of the group (ICM vs. DCM) on the number of remaining teeth (p = 0.16), periodontitis stage (p = 0.27) or the periodontal inflamed surface area (p = 0.62).
Conclusions
Patients with severe HF show high periodontal burden, without any differences between ICM and DCM group. Therefore, increased attention should be payed to periodontal health of patients with severe heart disease, irrespective of their underlying disease.
“…Alongside with the potential relationship between periodontal and cardiovascular diseases [ 5 ], a high periodontal burden in severely heart diseased patients appears plausible. The high periodontal burden and treatment need of patients with severe HF, after LVAD and/or HTx has been reported previously and appears an expectable finding [ 9 – 11 ].…”
Section: Discussionmentioning
confidence: 70%
“…Patients with advanced HF, especially if treated with either LVAD or HTx were recently reported to show a lack in periodontal care [ 9 – 11 ]. Thereby, a high periodontal treatment need, alongside with more severe periodontal disease burden was found in these individuals [ 9 – 11 ]. This might be hazardous, because this patient group is a vulnerable clientele, especially if treated with an HTx [ 12 ].…”
Background
This cross-sectional study aimed in the comparison of periodontal parameters, number of remaining teeth and oral behaviour between patients with ischemic- (ICM) and non-ischemic dilative cardiomyopathy (DCM).
Methods
Patients with HF from the Department for Cardiac Surgery at the Heart Center Leipzig were included. The two groups (ICM and DCM) were composed by matching according to age, gender and smoking habits. All participants received a comprehensive periodontal examination, including a periodontal probing on six measurement points of each tooth.
Results
A total of 226 patients (n = 113 each group) was included. Patients in DCM group used interdental cleaning significantly more often than ICM (23.9% vs. 12.5%, p = 0.04). The majority of patients in both groups (ICM: 83.6%, DCM: 84.6%, p = 0.23) were diagnosed with stage III–IV periodontitis. Periodontal parameters were comparable between groups (p > 0.05). Variance analysis revealed no influence of the group (ICM vs. DCM) on the number of remaining teeth (p = 0.16), periodontitis stage (p = 0.27) or the periodontal inflamed surface area (p = 0.62).
Conclusions
Patients with severe HF show high periodontal burden, without any differences between ICM and DCM group. Therefore, increased attention should be payed to periodontal health of patients with severe heart disease, irrespective of their underlying disease.
“…Patients suffering from severe HF who are treated by LVAD have been found to show insufficient oral health conditions, especially a high prevalence of periodontal diseases and an enormous need for periodontal treatment [9,10]. Overall, the dental management of these severely diseased patients is difficult [11,12].…”
Section: Introductionmentioning
confidence: 99%
“…Against this background, the potential role of periodontal inflammation as a risk factor for the development of LVADrelated infections appears to be a plausible option. Only one previous study examined a potential relationship between (history of) driveline infection and oral health conditions and failed to confirm a relationship [9]. However, no previous study has investigated whether there would be an association between periodontal disease severity as well as inflammation and positive microbiological findings at the driveline of LVAD.…”
The aim of this retrospective study was to investigate whether there would be an association between periodontal disease parameters and positive bacterial findings at the driveline of patients with a left ventricular assist device (LVAD). Patients with an LVAD, who underwent a full oral and microbiological examination between 2016 and 2018, were included. During oral examination, periodontitis severity (stage and grade) and the periodontal inflamed surface area (PISA) were evaluated. A microbiological analysis was performed from swabs of the driveline, whereby different bacterial species were cultivated and analyzed. A total of 73 patients were included in the current study. The majority of participants (80.8%) had at least one positive bacterial finding during the study period. Most patients had a periodontitis stage of III-IV (80.9%). The determined PISA of the total group was 284.78 ± 352.29 mm². No associations were found between the periodontal disease parameters and the bacterial findings in general, the bacterial findings on the day of oral examination or the bacterial findings 12 months prior to/after the oral examination (p > 0.05). Periodontitis is not associated with cultivated microbiological findings at the driveline of patients with an LVAD and thus appears not to be a risk indicator for driveline colonization. Nevertheless, the high periodontal burden in LVAD patients underlines the need for their improved periodontal care.
“…In the original published version of the paper Garbade et al ., 1 reference Binner et al (2019) should have been placed as reference 11. The online version has been modified to reflect the correct order of the references as shown below: Prinzing A, Herold U, Berkefeld A, Krane M, Lange R, Voss B.…”
In the original published version of the paper Garbade et al., 1 reference Binner et al. (2019) should have been placed as reference 11. The online version has been modified to reflect the correct order of the references as shown below:
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