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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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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 |
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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 |
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