Dental care before cardiac valve surgery: is it important to prevent infective endocarditis?

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dc.creatorAlessandra Figueiredo de Souza
dc.creatorAmanda Rocha Leal
dc.creatorWagner Henriques Castro
dc.creatorClaudio Léo Gelape
dc.creatorFernanda de Morais Ferreira
dc.creatorDenise Vieira Travassos
dc.creatorTarcília Aparecida da Silva
dc.date.accessioned2023-10-05T22:44:28Z
dc.date.accessioned2025-09-09T00:42:36Z
dc.date.available2023-10-05T22:44:28Z
dc.date.issued2016
dc.identifier.doihttps://doi.org/10.1016/j.ijcha.2016.07.001
dc.identifier.issn2352-9067
dc.identifier.urihttps://hdl.handle.net/1843/59222
dc.languagepor
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofIJC Heart & Vasculature
dc.rightsAcesso Aberto
dc.subjectEndocardite bacteriana
dc.subjectDental care
dc.subject.otherEndocarditis
dc.subject.otherBacteremia
dc.subject.otherAntibiotic prophylaxis
dc.subject.otherDental care
dc.titleDental care before cardiac valve surgery: is it important to prevent infective endocarditis?
dc.typeArtigo de periódico
local.citation.epage62
local.citation.spage57
local.citation.volume12
local.description.resumoBackground Infective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE. Objective To analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE. Methods We performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371). Results Of the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of Staphylococcus and Streptococcus. Conclusions The results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.
local.identifier.orcidhttps://orcid.org/0000-0001-6923-9229
local.identifier.orcidhttps://orcid.org/0000-0002-4362-7386
local.identifier.orcidhttps://orcid.org/0000-0003-2745-2878
local.identifier.orcidhttps://orcid.org/0000-0002-8287-0733
local.identifier.orcidhttps://orcid.org/0000-0003-2981-5644
local.identifier.orcidhttps://orcid.org/0000-0003-2084-9557
local.identifier.orcidhttps://orcid.org/0000-0001-9623-7835
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S2352906716300410?via%3Dihub

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