Oral Health Status and Dental Careof Patients with Cardiologic Risk of Focal Infection of Odontogenic Origin

Overview

The group of 324 patients (172 men, 152 women) with the cardiologic risk of focalinfection has been examined and when necessary treated. The mean age of men and womenamounted to 65.3 and 65.8, respectively. The reasons to be involved in the risk group: examination/treatment before heart surgical intervention (132), after valve prosthesis (44), afterbypass (25), after combination of valve prosthesis and bypass (4), vitium cordis and other valveproblems (57) and ischaemic disease and arrhythmias (59). No treatment has been necessaryin 62 patients (19.2 %). Dental treatment predominantly consisted of simple and surgicalextractions, in 18 cases in exstirpation of cyst, and by one case in revision of maxillary sinusand exstirpation of salivary gland.Dental/oral diagnoses involved periodontitis chronica 39.7 %,parodontitis 38.9 %, radix relicta 6.1 %, dens semi/retinatus 0.8 %, dentitio difficilis chronica4.6 %, cystis follicularis 1.1 %, and combination of above diagnoses 5.3 %. All oral interventionshave been covered by the single dose ATB prophylaxis in 186 patients (83.8 %) with amoxycilin 2 g PO and in 36 patients (16.2 %) clindamycin 600 mg PO 1 hr before intervention. Theprevalence of edentulousness and the mean count of decayed teeth were significantly higherthan in the age matched population group in the national oral health survey in 2003.

Key words:
focal infection – dental treatment – cardiologic risk