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Oral Health in Adults with Congenital Heart Disease

Oral bacteria and odontogenic oral infections are responsible for a high portion of cases with infective endocarditis. Hence, oral health in patients with congenital heart disease (CHD) gains particular importance. This case-control study compared the oral health status in 112 adults with CHD and 16...

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Autores principales: Folwaczny, Matthias, Wilberg, Saskia, Bumm, Caspar, Hollatz, Stefan, Oberhoffer, Renate, Neidenbach, Rhoia Clara, Kaemmerer, Harald, Frasheri, Iris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723475/
https://www.ncbi.nlm.nih.gov/pubmed/31430933
http://dx.doi.org/10.3390/jcm8081255
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author Folwaczny, Matthias
Wilberg, Saskia
Bumm, Caspar
Hollatz, Stefan
Oberhoffer, Renate
Neidenbach, Rhoia Clara
Kaemmerer, Harald
Frasheri, Iris
author_facet Folwaczny, Matthias
Wilberg, Saskia
Bumm, Caspar
Hollatz, Stefan
Oberhoffer, Renate
Neidenbach, Rhoia Clara
Kaemmerer, Harald
Frasheri, Iris
author_sort Folwaczny, Matthias
collection PubMed
description Oral bacteria and odontogenic oral infections are responsible for a high portion of cases with infective endocarditis. Hence, oral health in patients with congenital heart disease (CHD) gains particular importance. This case-control study compared the oral health status in 112 adults with CHD and 168 healthy control subjects. In addition, the patient group was stratified according to the complexity of the heart defect and the recommendation for antibiotic prophylaxis during invasive dental procedures. Considering caries experience, a significantly lower mean DMFT (decayed missing filled teeth) score (7.91 ± 6.63 vs. 13.6 ± 8.15; p < 0.0001) was found in patients with CHD compared to healthy controls. Healthy controls had a higher average number of decayed teeth (0.33 ± 0.76 vs. 1.76 ± 2.61; p < 0.0001). In female subjects a significant lower relative amount of teeth with apical periodontitis was found among CHD patients (3.4% ± 0.9%) as compared to healthy controls (5.6% ± 1.9%) (p = 0.053). Regarding periodontal health, patients with CHD had lower rate of sulcus bleeding (0.32 ± 0.65 vs. 0.71 ± 0.60; p < 0.0001) and less alveolar bone loss than heart healthy individuals (% root length: multi rooted teeth: 8.97 ± 10.64 vs. 23.22 ± 20.70; p < 0.0001; single rooted teeth: 5.59 ± 6.25 vs. 17.30 ± 17.17; p = 0.003). On the contrary, CHD patients presented with higher amount of plaque in comparison to healthy controls (Quigley & Hein index: 2.22 ± 0.67 vs. 1.25 ± 0.72; p < 0.0001). Based on the current results, it can be concluded that adults with CHD have better oral health than heart healthy individuals.
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spelling pubmed-67234752019-09-10 Oral Health in Adults with Congenital Heart Disease Folwaczny, Matthias Wilberg, Saskia Bumm, Caspar Hollatz, Stefan Oberhoffer, Renate Neidenbach, Rhoia Clara Kaemmerer, Harald Frasheri, Iris J Clin Med Article Oral bacteria and odontogenic oral infections are responsible for a high portion of cases with infective endocarditis. Hence, oral health in patients with congenital heart disease (CHD) gains particular importance. This case-control study compared the oral health status in 112 adults with CHD and 168 healthy control subjects. In addition, the patient group was stratified according to the complexity of the heart defect and the recommendation for antibiotic prophylaxis during invasive dental procedures. Considering caries experience, a significantly lower mean DMFT (decayed missing filled teeth) score (7.91 ± 6.63 vs. 13.6 ± 8.15; p < 0.0001) was found in patients with CHD compared to healthy controls. Healthy controls had a higher average number of decayed teeth (0.33 ± 0.76 vs. 1.76 ± 2.61; p < 0.0001). In female subjects a significant lower relative amount of teeth with apical periodontitis was found among CHD patients (3.4% ± 0.9%) as compared to healthy controls (5.6% ± 1.9%) (p = 0.053). Regarding periodontal health, patients with CHD had lower rate of sulcus bleeding (0.32 ± 0.65 vs. 0.71 ± 0.60; p < 0.0001) and less alveolar bone loss than heart healthy individuals (% root length: multi rooted teeth: 8.97 ± 10.64 vs. 23.22 ± 20.70; p < 0.0001; single rooted teeth: 5.59 ± 6.25 vs. 17.30 ± 17.17; p = 0.003). On the contrary, CHD patients presented with higher amount of plaque in comparison to healthy controls (Quigley & Hein index: 2.22 ± 0.67 vs. 1.25 ± 0.72; p < 0.0001). Based on the current results, it can be concluded that adults with CHD have better oral health than heart healthy individuals. MDPI 2019-08-19 /pmc/articles/PMC6723475/ /pubmed/31430933 http://dx.doi.org/10.3390/jcm8081255 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Folwaczny, Matthias
Wilberg, Saskia
Bumm, Caspar
Hollatz, Stefan
Oberhoffer, Renate
Neidenbach, Rhoia Clara
Kaemmerer, Harald
Frasheri, Iris
Oral Health in Adults with Congenital Heart Disease
title Oral Health in Adults with Congenital Heart Disease
title_full Oral Health in Adults with Congenital Heart Disease
title_fullStr Oral Health in Adults with Congenital Heart Disease
title_full_unstemmed Oral Health in Adults with Congenital Heart Disease
title_short Oral Health in Adults with Congenital Heart Disease
title_sort oral health in adults with congenital heart disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723475/
https://www.ncbi.nlm.nih.gov/pubmed/31430933
http://dx.doi.org/10.3390/jcm8081255
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