Table 5.
Frequency and nature of post-operative complications depending on the oral care of patients on biologics or immunosuppressants
| All practitioners | Specialized dentist activityc | General dentist activity | P-value | All practitioners | Specialized dentist activityc | General dentist activity | P-value | |
|---|---|---|---|---|---|---|---|---|
| In patients under biologicsa | In patients under immunosuppressantsb | |||||||
| N = 104 (%) | N = 47 (%) | N = 57 (%) | N = 103 (%) | N = 47 (%) | N = 56 (%) | |||
| Postoperative complications occurring after dental invasive procedures | ||||||||
| No | 91 (87.50) | 37 (78.72) | 54 (94.74) | 84 (81.55) | 33 (70.21) | 51 (91.07) | ||
| Yes | 13 (12.50) | 10 (21.28) | 3 (5.26) | 0.01 | 19 (18.45) | 14 (29.79) | 5 (8.93) | 0.007 |
| Endodontic procedures | 0 (0.00) | 0 (0.00) | 0 (0.00) | - | 0 (0.00) | 0 (0.00) | 0 (0.00) | - |
| Scaling and root planing | 0 (0.00) | 0 (0.00) | 0 (0.00) | - | 0 (0.00) | 0 (0.00) | 0 (0.00) | - |
| Procedures requiring mucoperiosteal flap rising with bone cutting/curetting | 5 (4.81) | 5 (10.64) | 0 (0.00) | 0.01 | 6 (5.83) | 5 (10.64) | 1 (1.79) | 0.05 |
| Soft-tissue surgery | 1 (0.96) | 1 (2.13) | 0 (0.00) | 0.26 | 0 (0.00) | 0 (0.00) | 0 (0.00) | - |
| Dental extraction(s) | 13 (12.50) | 10 (21.28) | 3 (5.26) | 0.01 | 19 (18.45) | 14 (29.79) | 5 (8.93) | 0.007 |
| Implant(s) placement | 2 (1.92) | 2 (4.26) | 0 (0.00) | 0.11 | 2 (1.94) | 2 (4.26) | 0 (0.00) | 0.11 |
| Type of postoperative complications after invasive dental procedures | ||||||||
| Abscesses | 2 (1.92) | 2 (4.26) | 0 (0.00) | 0.11 | 3 (2.91) | 2 (4.26) | 1 (1.79) | 0.45 |
| Cellulitis | 2 (1.92) | 2 (4.26) | 0 (0.00) | 0.11 | 3 (2.91) | 1 (2.13) | 2 (3.57) | 0.66 |
| Dry socket | 10 (9.62) | 7 (14.89) | 3 (5.26) | 0.09 | 12 (11.65) | 10 (21.28) | 2 (3.57) | 0.005 |
| Osteitis | 4 (3.85) | 2 (4.26) | 2 (3.51) | 0.84 | 3 (2.91) | 2 (4.26) | 1 (1.79) | 0.45 |
| Delayed mucosal healing | 12 (11.54) | 10 (21.28) | 2 (3.51) | 0.005 | 15 (14.56) | 12 (25.53) | 3 (5.36) | 0.004 |
| Implant(s) osseointegration failure | 0 (0.00) | 0 (0.00) | 0 (0.00) | - | 1 (0.97) | 1 (2.13) | 0 (0.00) | 0.27 |
| Jaw-bone osteonecrosis | 5 (4.81) | 4 (8.51) | 1 (1.75) | 0.10 | 1 (0.97) | 1 (2.13) | 0 (0.00) | 0.27 |
aOnly practitioners who responded that they are concerned about the care of patients taking biologics (n = 104) were included in this analysis
bOnly practitioners who responded that they were concerned about the care of patients taking immunosuppressants (n = 103) were included in this analysis
cSpecialized dentist activity: oral surgery, periodontology, endodontics, pediatric dentistry