Open AccessPreoperative periodontal treatment and its effects on postoperative infection in cardiac valve surgery
Author(s) -
Suzuki Hitomi,
Matsuo Koichiro,
Okamoto Mieko,
Nakata Haruka,
Sakamoto Hitomi,
Fujita Mirai
Publication year - 2019
Publication title -
clinical and experimental dental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.464
H-Index - 9
ISSN - 2057-4347
DOI - 10.1002/cre2.212
Subject(s) - medicine , cardiac surgery , medical record , periodontal surgery , postoperative fever , antibiotic prophylaxis , surgery , intervention (counseling) , antibiotics , percutaneous , microbiology and biotechnology , biology , psychiatry
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.