Specialty Registrar in Special Care Dentistry, Bristol Dental Hospital, University Hospital Bristol and Weston NHS Foundation Trust, Bristol, UK.
Consultant in Special Care Dentistry, Bristol Dental Hospital, University Hospital Bristol and Weston NHS Foundation Trust, Bristol, UK.
Br Dent J. 2022 Feb;232(3):151-154. doi: 10.1038/s41415-022-3881-y. Epub 2022 Feb 11.
Certain types of invasive cardiac surgery can place patients at risk of developing infective endocarditis from dental pathology or dental treatment. University Hospital Bristol and Weston NHS Foundation Trust is the regional centre for cardiac surgery in the South West of the UK and is part of the South Wales and South West Congenital Heart Disease Network. As part of this network, the Special Care Dental Department within Bristol Dental Hospital provides dental screening for patients pending invasive cardiac surgery. These are conducted to identify dental pathology in individuals who will be at risk of infective endocarditis, so where possible, they are rendered dentally fit before their surgery.Presented is the information that led to the creation of a screening pro forma, for the dental assessment of patients before invasive cardiac surgery, suitable for use in primary or secondary care. This was produced following an audit, to ensure that along with identifying sources of dental pathology, the dental screening is also documenting the risk of dental pathology and modifiable risk factors. This enables tailored preventative advice which is important to help reduce a patient's lifetime risk of infective endocarditis from dental pathology. Other information used to help develop the pro forma taken from the audit, regional and national guidance is also discussed.
某些类型的心脏直视手术可能使患者面临因牙病或牙科治疗而患上感染性心内膜炎的风险。布里斯托尔和韦斯顿国民保健信托大学医院是英国西南部的心脏直视手术区域中心，也是南威尔士和南西先天性心脏病网络的一部分。作为该网络的一部分，布里斯托尔牙科医院的特殊护理牙科部门为即将接受心脏直视手术的患者提供牙科筛查。这些检查旨在识别那些可能患有感染性心内膜炎的个体的牙病，因此在他们手术前尽可能使他们的牙齿健康。本文介绍了创建一种筛查表格的信息，用于在进行心脏直视手术前对患者进行牙科评估，适用于初级或二级护理。这是在进行审计后制定的，以确保在确定牙病来源的同时，牙科筛查还记录了牙病的风险和可改变的风险因素。这可以提供有针对性的预防建议，这对于降低患者因牙病而患上感染性心内膜炎的终生风险非常重要。还讨论了用于帮助制定表格的其他信息，包括审计、区域和国家指南。
