Abstract
The mouth is a possible source of infection in patients receiving prosthetic heart valves. In this study, the dental health of such patients was found to be very poor. Whilst most of the patients were asymptomatic, only two were dentally fit and 65% required the extraction of one or more teeth. On average, patients had not attended a dental practice for more than 9 years. This level of dental neglect, in a group of patients particularly at risk, is alarming and this study indicates that a higher standard of oral care is still required and that a lack of symptoms does not indicate dental fitness.
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Selected References
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- Bayliss R., Clarke C., Oakley C., Somerville W., Whitfield A. G. The teeth and infective endocarditis. Br Heart J. 1983 Dec;50(6):506–512. doi: 10.1136/hrt.50.6.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Everett E. D., Hirschmann J. V. Transient bacteremia and endocarditis prophylaxis. A review. Medicine (Baltimore) 1977 Jan;56(1):61–77. [PubMed] [Google Scholar]
- Guntheroth W. G. How important are dental procedures as a cause of infective endocarditis? Am J Cardiol. 1984 Oct 1;54(7):797–801. doi: 10.1016/s0002-9149(84)80211-8. [DOI] [PubMed] [Google Scholar]
- Holbrook W. P., Willey R. F., Shaw T. R. Dental health in patients susceptible to infective endocarditis. Br Med J (Clin Res Ed) 1981 Aug 1;283(6287):371–372. doi: 10.1136/bmj.283.6287.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rossiter S. J., Stinson E. B., Oyer P. E., Miller D. C., Schapira J. N., Martin R. P., Shumway N. E. Prosthetic valve endocarditis. Comparison of heterograft tissue valves and mechanical valves. J Thorac Cardiovasc Surg. 1978 Dec;76(6):795–803. [PubMed] [Google Scholar]
- Thom A. R., Howe G. L. The dental status of cardiac patients. Br Heart J. 1972 Dec;34(12):1302–1307. doi: 10.1136/hrt.34.12.1302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tzukert A. A., Leviner E., Sela M. Prevention of infective endocarditis: not by antibiotics alone. A 7-year follow-up of 90 dental patients. Oral Surg Oral Med Oral Pathol. 1986 Oct;62(4):385–388. doi: 10.1016/0030-4220(86)90286-0. [DOI] [PubMed] [Google Scholar]