Cargando…

Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study

AIMS: The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). METHODS AND RESULTS: Patients (128) with LVAD were recruited from the University Department for Card...

Descripción completa

Detalles Bibliográficos
Autores principales: Garbade, Jens, Rast, Josephine, Schmalz, Gerhard, Eisner, Mirjam, Wagner, Justus, Kottmann, Tanja, Oberbach, Andreas, Lehmann, Sven, Haak, Rainer, Borger, Michael A., Binner, Christian, Ziebolz, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261540/
https://www.ncbi.nlm.nih.gov/pubmed/32027102
http://dx.doi.org/10.1002/ehf2.12636
_version_ 1783540519188561920
author Garbade, Jens
Rast, Josephine
Schmalz, Gerhard
Eisner, Mirjam
Wagner, Justus
Kottmann, Tanja
Oberbach, Andreas
Lehmann, Sven
Haak, Rainer
Borger, Michael A.
Binner, Christian
Ziebolz, Dirk
author_facet Garbade, Jens
Rast, Josephine
Schmalz, Gerhard
Eisner, Mirjam
Wagner, Justus
Kottmann, Tanja
Oberbach, Andreas
Lehmann, Sven
Haak, Rainer
Borger, Michael A.
Binner, Christian
Ziebolz, Dirk
author_sort Garbade, Jens
collection PubMed
description AIMS: The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). METHODS AND RESULTS: Patients (128) with LVAD were recruited from the University Department for Cardiac Surgery at Heart Center, Leipzig, Germany. A healthy control group (HC, n = 113) was included. Dental behaviour was assessed with a standardized questionnaire, and to evaluate oral health‐related quality of life, the German short form of oral health impact profile was applied. The presence of decayed, missing, and filled teeth; dental treatment need; periodontitis severity; and periodontal treatment need were assessed. These findings were correlated to disease‐related and device‐related factors. The minority of patients used aids for interdental hygiene (16.4%). For the LVAD patients, a German short form of oral health impact profile sum score of 4.96 ± 8.67 [0.5; 0–6] was assessed. The LVAD group suffered from more missing teeth (11.91 ± 9.13 vs. 3.70 ± 3.77; P < 0.01) than HC. More severe periodontitis was found in LVAD group (LVAD = 41.4% and HC = 27.4%; P < 0.01). Periodontal treatment need was high in both groups, without a significant difference (LVAD = 84.4% vs. HC = 86.7%; P = 0.71). LVAD therapy as bridge to transplantation was correlated with periodontal treatment need (odds ratio = 11.48 [1.27; 103.86]; P = 0.03). Further correlations between treatment need and disease specific factors were not detected. CONCLUSIONS: Patients with LVAD suffer from a high periodontal treatment need and a lack in oral behaviour. Interdisciplinary special care concepts appear recommendable to improve oral health in LVAD patients.
format Online
Article
Text
id pubmed-7261540
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-72615402020-06-01 Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study Garbade, Jens Rast, Josephine Schmalz, Gerhard Eisner, Mirjam Wagner, Justus Kottmann, Tanja Oberbach, Andreas Lehmann, Sven Haak, Rainer Borger, Michael A. Binner, Christian Ziebolz, Dirk ESC Heart Fail Original Research Articles AIMS: The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). METHODS AND RESULTS: Patients (128) with LVAD were recruited from the University Department for Cardiac Surgery at Heart Center, Leipzig, Germany. A healthy control group (HC, n = 113) was included. Dental behaviour was assessed with a standardized questionnaire, and to evaluate oral health‐related quality of life, the German short form of oral health impact profile was applied. The presence of decayed, missing, and filled teeth; dental treatment need; periodontitis severity; and periodontal treatment need were assessed. These findings were correlated to disease‐related and device‐related factors. The minority of patients used aids for interdental hygiene (16.4%). For the LVAD patients, a German short form of oral health impact profile sum score of 4.96 ± 8.67 [0.5; 0–6] was assessed. The LVAD group suffered from more missing teeth (11.91 ± 9.13 vs. 3.70 ± 3.77; P < 0.01) than HC. More severe periodontitis was found in LVAD group (LVAD = 41.4% and HC = 27.4%; P < 0.01). Periodontal treatment need was high in both groups, without a significant difference (LVAD = 84.4% vs. HC = 86.7%; P = 0.71). LVAD therapy as bridge to transplantation was correlated with periodontal treatment need (odds ratio = 11.48 [1.27; 103.86]; P = 0.03). Further correlations between treatment need and disease specific factors were not detected. CONCLUSIONS: Patients with LVAD suffer from a high periodontal treatment need and a lack in oral behaviour. Interdisciplinary special care concepts appear recommendable to improve oral health in LVAD patients. John Wiley and Sons Inc. 2020-02-06 /pmc/articles/PMC7261540/ /pubmed/32027102 http://dx.doi.org/10.1002/ehf2.12636 Text en © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research Articles
Garbade, Jens
Rast, Josephine
Schmalz, Gerhard
Eisner, Mirjam
Wagner, Justus
Kottmann, Tanja
Oberbach, Andreas
Lehmann, Sven
Haak, Rainer
Borger, Michael A.
Binner, Christian
Ziebolz, Dirk
Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title_full Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title_fullStr Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title_full_unstemmed Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title_short Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
title_sort oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
topic Original Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261540/
https://www.ncbi.nlm.nih.gov/pubmed/32027102
http://dx.doi.org/10.1002/ehf2.12636
work_keys_str_mv AT garbadejens oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT rastjosephine oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT schmalzgerhard oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT eisnermirjam oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT wagnerjustus oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT kottmanntanja oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT oberbachandreas oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT lehmannsven oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT haakrainer oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT borgermichaela oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT binnerchristian oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy
AT ziebolzdirk oralhealthanddentalbehaviourofpatientswithleftventricularassistdeviceacrosssectionalstudy