Cargando…

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?

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, Germa...

Descripción completa

Detalles Bibliográficos
Autores principales: Binner, Christian, Wagner, Justus, Schmalz, Gerhard, Eisner, Mirjam, Rast, Josephine, Kottmann, Tanja, Haak, Rainer, Oberbach, Andreas, Borger, Michael A., Garbade, Jens, Ziebolz, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832627/
https://www.ncbi.nlm.nih.gov/pubmed/31614807
http://dx.doi.org/10.3390/jcm8101668
_version_ 1783466217505292288
author Binner, Christian
Wagner, Justus
Schmalz, Gerhard
Eisner, Mirjam
Rast, Josephine
Kottmann, Tanja
Haak, Rainer
Oberbach, Andreas
Borger, Michael A.
Garbade, Jens
Ziebolz, Dirk
author_facet Binner, Christian
Wagner, Justus
Schmalz, Gerhard
Eisner, Mirjam
Rast, Josephine
Kottmann, Tanja
Haak, Rainer
Oberbach, Andreas
Borger, Michael A.
Garbade, Jens
Ziebolz, Dirk
author_sort Binner, Christian
collection PubMed
description 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.
format Online
Article
Text
id pubmed-6832627
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68326272019-11-25 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? Binner, Christian Wagner, Justus Schmalz, Gerhard Eisner, Mirjam Rast, Josephine Kottmann, Tanja Haak, Rainer Oberbach, Andreas Borger, Michael A. Garbade, Jens Ziebolz, Dirk J Clin Med Article 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. MDPI 2019-10-12 /pmc/articles/PMC6832627/ /pubmed/31614807 http://dx.doi.org/10.3390/jcm8101668 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
Binner, Christian
Wagner, Justus
Schmalz, Gerhard
Eisner, Mirjam
Rast, Josephine
Kottmann, Tanja
Haak, Rainer
Oberbach, Andreas
Borger, Michael A.
Garbade, Jens
Ziebolz, Dirk
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?
title 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?
title_full 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?
title_fullStr 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?
title_full_unstemmed 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?
title_short 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?
title_sort 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?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6832627/
https://www.ncbi.nlm.nih.gov/pubmed/31614807
http://dx.doi.org/10.3390/jcm8101668
work_keys_str_mv AT binnerchristian insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT wagnerjustus insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT schmalzgerhard insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT eisnermirjam insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT rastjosephine insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT kottmanntanja insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT haakrainer insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT oberbachandreas insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT borgermichaela insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT garbadejens insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms
AT ziebolzdirk insufficientoralbehaviourandthehighneedforperiodontaltreatmentinpatientswithheartinsufficiencyandafterhearttransplantationaneedforspecialcareprograms