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?

被引:11
作者
Binner, Christian [1 ]
Wagner, Justus [2 ]
Schmalz, Gerhard [2 ]
Eisner, Mirjam [2 ]
Rast, Josephine [2 ]
Kottmann, Tanja [3 ]
Haak, Rainer [2 ]
Oberbach, Andreas [4 ]
Borger, Michael A. [1 ]
Garbade, Jens [1 ]
Ziebolz, Dirk [2 ]
机构
[1] Univ Leipzig, Leipzig Heart Ctr, Dept Cardiac Surg, D-04289 Leipzig, Germany
[2] Univ Leipzig, Dept Cariol Endodontol & Periodontol, D-04103 Leipzig, Germany
[3] CRO Dr Med Kottmann GmbH & Co, D-59077 Hamm, Germany
[4] Fraunhofer Inst Cell Therapy & Immunol Leipzig, Dept Diagnost, D-04103 Leipzig, Germany
关键词
dental care; heart transplantation; oral health; dental behaviour; HEALTH-STATUS; BACTEREMIA;
D O I
10.3390/jcm8101668
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
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页数:10
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