TY - JOUR
T1 - Preoperative periodontal treatment and its effects on postoperative infection in cardiac valve surgery
AU - Suzuki, Hitomi
AU - Matsuo, Koichiro
AU - Okamoto, Mieko
AU - Nakata, Haruka
AU - Sakamoto, Hitomi
AU - Fujita, Mirai
N1 - Funding Information:
This study was partly supported by grants-in-aid (MEXT KAKENHI 26463200 and 18K09671) from the Ministry of Education, Culture, Sports, and Science of Japan.
Publisher Copyright:
©2019 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Objectives: Oral infection control is important for patients undergoing cardiac valve replacement (CVR) as prophylaxis for postoperative complications. This study examined the changes in oral health status by preoperative periodontal treatment and its effects on postsurgical complications in CVR patients. Material and methods: We recruited 64 patients undergoing CVR who received preoperative periodontal treatment at our hospital as the intervention group and retrospectively reviewed the medical records of 38 patients who had undergone CVR surgery without dental intervention as the control group. Oral health status was assessed at the first visit to our dental office, 1 day before surgery, and >7 days after surgery. Days of high fever, antibiotics use, and postoperative hospitalization were recorded for the intervention and control groups for statistical comparisons. Results: In the intervention group, oral health status significantly improved from the initial visit to >7 days after surgery. There were significantly fewer days of high fever (>37.5°C) in the intervention group than in the control group, with comparable results for other events. Conclusions: This study's findings suggest that preoperative periodontal treatment can improve oral health status surrounding CVR surgery and could be the contributor of the reduction in the risk of postoperative infection.
AB - Objectives: Oral infection control is important for patients undergoing cardiac valve replacement (CVR) as prophylaxis for postoperative complications. This study examined the changes in oral health status by preoperative periodontal treatment and its effects on postsurgical complications in CVR patients. Material and methods: We recruited 64 patients undergoing CVR who received preoperative periodontal treatment at our hospital as the intervention group and retrospectively reviewed the medical records of 38 patients who had undergone CVR surgery without dental intervention as the control group. Oral health status was assessed at the first visit to our dental office, 1 day before surgery, and >7 days after surgery. Days of high fever, antibiotics use, and postoperative hospitalization were recorded for the intervention and control groups for statistical comparisons. Results: In the intervention group, oral health status significantly improved from the initial visit to >7 days after surgery. There were significantly fewer days of high fever (>37.5°C) in the intervention group than in the control group, with comparable results for other events. Conclusions: This study's findings suggest that preoperative periodontal treatment can improve oral health status surrounding CVR surgery and could be the contributor of the reduction in the risk of postoperative infection.
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U2 - 10.1002/cre2.212
DO - 10.1002/cre2.212
M3 - Article
C2 - 31687181
AN - SCOPUS:85068702567
SN - 2057-4347
VL - 5
SP - 485
EP - 490
JO - Clinical and Experimental Dental Research
JF - Clinical and Experimental Dental Research
IS - 5
ER -