Preoperative Diagnosis in Patients With Diseases of the Cardiovascular System Before Dental Implantation Surgery (Literature Review)

Abstract

The subject of the study. Dental implantation for patients with cardiovascular diseases is an urgent and important area, but requires special attention from doctors and patients. Cardiovascular diseases can be a risk factor for implant rejection due to the fact that they often have a direct effect on blood flow to tissues. A review of literature sources in the period from 2017 to 2023 showed that there is no common point of view in the scientific community regarding the implementation of implantation in patients with hypertension and coronary heart disease. 
 Objectives. To study the specifics of preoperative diagnosis in patients with cardiovascular diseases before dental implantation surgery, reflected in the scientific literature. 
 Methodology. Currently, the article analyzes sources from databases: Pub Med, Cyberleninka, eLibrary, ResearchGate, CohraneOral Health. The search for scientific literature on the problem under consideration was carried out using keywords. The key criteria for reviewing the scientific publications available in the databases were the availability of indications for dental implantation in the studied individuals.
 Results. An analysis of the scientific literature on the use of dental implantation in patients with diseases of the cardiovascular system did not reveal a single point of view. The authors agree that patients with cardiac pathology need to hold a consultation with a cardiologist, an anesthesiologist, and a surgeon before elective surgery in order to make a joint decision. At that time, there are different points of view regarding the criteria for assessing the risk and scope of preoperative diagnosis of patients with cardiovascular diseases, there is no systematization and classification of complications, as well as criteria for evaluating the complications of dental implantation surgery in cardiac patients. 
 Conclusions. It seems advisable to identify criteria that determine the general condition and dental status of patients with diseases of the cardiovascular system, which will allow assessing the possibility of using dental implants for them.