Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2004; 104(6): 254-260

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

P. Šimůnek, Z. Broukal, H. Staňková

Stomatologická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Mazánek, DrSc.

Výzkumný ústav stomatologický 1. LF UK a VFN, Praha, přednostka prof. MUDr. J. Dušková, DrSc.

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), after bypass (25), after combination of valve prosthesis and bypass (4), vitium cordis and other valve problems (57) and ischaemic disease and arrhythmias (59). No treatment has been necessary in 62 patients (19.2 %). Dental treatment predominantly consisted of simple and surgical extractions, in 18 cases in exstirpation of cyst, and by one case in revision of maxillary sinus and 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. The prevalence of edentulousness and the mean count of decayed teeth were significantly higher than in the age matched population group in the national oral health survey in 2003.

Keywords: focal infection; dental treatment; cardiologic risk

Published: December 1, 2004  Show citation