Perceived influence of oral health upon quality of life in heart transplant patients

Segura-Saint-Gerons, Rafael; Segura-Saint-Gerons, Carmen; Alcántara-Luque, Rosario; Prado, José-María Arizón-del; Foronda-Garcia-Hidalgo, Carla; Blanco-Hungría, Antonio

doi:10.4317/medoral.17542

Cited by 14 publications

(22 citation statements)

References 11 publications

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“…This points out to an assumption concluded from studies regarding oral health-related quality of life of organ transplant recipients: an inappropriate estimation of the importance of oral health caused by the general disease burden [32][33][34]. In heart transplanted individuals, the perceived influence of oral health on quality of life was concluded to be reduced [35]. Accordingly, an increased sensibilization and motivation for oral health issues, combined with the information about its importance for patient's general health, seems necessary.…”

Section: Discussionmentioning

confidence: 95%

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

Ziebolz

Friedrich

Binner

et al. 2020

JCM

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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.

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Section: Discussionmentioning

confidence: 95%

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

Ziebolz

Friedrich

Binner

et al. 2020

JCM

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“…Oral hygiene in patients with a solid organ transplant has been found to be significantly worse than that of patients on the transplant waiting list. Segura-Saint-Gerons et al [ 11 ] found that Spanish heart transplant recipients had poor self-perceived oral health-related quality of life. However, data on the dental health status of heart transplant recipients (HTRs) are scarce in China.…”

Section: Introductionmentioning

confidence: 99%

Oral health status of adult heart transplant recipients in China

et al. 2018

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Limited information on the oral health status of adult heart transplant recipients (HTRs) is known, and no available data exist in China. A prerequisite dental evaluation is usually recommended for patients’ postorgan transplantation because lifelong immunosuppression may predispose them to infection spread.The aim of this study was to investigate the oral health status of Chinese adult HTRs and determine the association between oral health status and history of heart transplantation (HT).We carried out a cross-sectional study to collect clinical, demographic, socioeconomic, and behavioral data from 81 adult patients who received heart transplantation during 2014 to 2015 in China. Clinical examinations for the presence of dental plaque, dental calculus, dental caries, and periodontal health conditions were performed in a standardized manner by one trained examiner. Sociodemographic, socioeconomic, and behavioral data were self-reported using questionnaires. The prevalence of the above conditions was compared with 63 age- and sex-matched controls. General liner regression analysis was used to assess associations between mean number of decayed, missing, and filled teeth (DMFT) and mean community periodontal index of treatment needs (CPITN) scores and history of heart transplant.Mean age of the HT group was 47.7 ± 12.2 years and men accounted for 69.1% of the sample. The overall median DMFT score in the HT group was 3 (1–5) and caries prevalence was 80.2%, which were similar to the control group (P > .05). The overall mean CPITN score of the HT group was 1.84, which was significantly higher than the control group (1.07, P = .001). Participants in the HT group had worse oral hygiene status and more teeth with probing depth ≥ 4 mm than controls (P = .043). Compared with participants who had no history of heart transplantation, HTRs presented worse periodontal health conditions (mean CPITN score, adjusted odds ratio (OR) = 1.39, 95% confidence interval (CI) = 1.12–1.71, P = .003) and similar dental caries status (DMFT score, adjusted OR = 0.58, 95% CI = 0.37–0.91, P = .058).Periodontal health status was positively associated with history of heart transplantation in Chinese adult HTRs.

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“…Table 2 summarizes the characteristics of the included examinations. Three studies examined patients after KTx [21,23,27], two examined HTx [22,26] and one study each examined patients after LuTx [24] or LTx [25]. All of the studies were performed in Europe, whereby most investigations took part in Germany.…”

Section: Quality Assessmentmentioning

confidence: 99%

Does oral health-related quality of life of patients after solid organ transplantation indicate a response shift? Results of a systematic review

et al. 2020

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Background The physical oral health and dental behaviour of patients after solid organ transplantation (SOT) has repeatedly been reported as insufficient. The objective of this systematic review was to detect whether the oral health-related quality of life (OHRQoL) of patients after SOT is reduced compared to that of healthy individuals. Methods A systematic literature search was performed by two independent individuals based on the PubMed, Web of Science and Scopus databases by using the following search terms: “transplantation” AND “oral health-related quality of life”. The findings were checked to determine eligibility, whereby publication prior to 31 October 2020, examination of adult patients (age at least 18 years) with SOT, reporting of an OHRQoL outcome and full text in English language were the prerequisites for inclusion in the qualitative analysis. Quality appraisal of the included studies was performed using the Agency for Healthcare Research and Quality methodology checklist. Results Seven of 25 studies that examined patients after kidney (3), heart (2), liver (1) and lung transplantation (1) were included. Four studies included healthy controls, and five studies included a cohort of patients before transplantation for comparison. Clinical oral health examinations were heterogeneous between groups. The majority of studies (5/7) applied the short form of the “Oral Health Impact Profile” (OHIP 14) to assess OHRQoL. The OHIP 14 values ranged between 1.7 and 8.9 across studies, indicating an unaffected or just slightly reduced OHRQoL. Only one study found better OHRQoL in patients after SOT compared to a group before SOT, and one study confirmed worse OHRQoL of SOT recipients compared to a healthy control. Only two studies revealed an association between OHRQoL and oral health parameters. Furthermore, two studies each found a relationship between OHRQoL and general health-related quality of life or disease-related parameters. Conclusions Patients after SOT show an unaffected or only slightly reduced OHRQoL, which was mainly independent of the insufficient oral status. This might indicate a shift in the perception threshold for oral diseases and conditions caused by the general health burden related to the SOT.

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Perceived influence of oral health upon quality of life in heart transplant patients

Cited by 14 publications

References 11 publications

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

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

Oral health status of adult heart transplant recipients in China

Does oral health-related quality of life of patients after solid organ transplantation indicate a response shift? Results of a systematic review

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