Community Dental Officer, Newcastle upon Tyne Hospitals NHS Foundation Trust, Community Dental Services, Molineux Street NHS Centre, Byker, Newcastle upon Tyne, NE6 1SG, UK.
Locum Community Dental Officer, Newcastle upon Tyne Hospitals NHS Foundation Trust, Community Dental Services, Molineux Street NHS Centre, Byker, Newcastle upon Tyne, NE6 1SG, UK.
Br Dent J. 2024 Jul;237(1):33-39. doi: 10.1038/s41415-024-7558-6. Epub 2024 Jul 12.
Both dental and cardiovascular disease are prevalent in the general population, have common risk factors and may be closely associated.Following cardiothoracic surgery, patients may be higher risk for developing infective endocarditis (IE) than the general population. Before cardiothoracic interventions, it is common practice for a dental assessment to be carried out and any necessary dental treatment provided. This aims to reduce the risk of IE arising from dental sources and avoid dental pain or infection during the peri- and post-operative period. There is little guidance on which treatments should be performed and when.Many patients with cardiac disease may have dental treatment provided safely in primary care. However, there is often a need to consider additional factors, including bleeding risk, condition stability or medication interactions. Dental teams must have an awareness of the implications of cardiac disease and provide reasonable adjustments to care provision where necessary, ensuring patient safety.This article proposes a protocol for dental management of patients awaiting cardiothoracic surgery and explores important considerations for dental care in this patient group.
口腔和心血管疾病在普通人群中都很常见，具有共同的危险因素，并且可能密切相关。心胸外科手术后，患者发生感染性心内膜炎（IE）的风险高于普通人群。在心胸介入治疗之前，通常会进行口腔评估并提供必要的口腔治疗。这旨在降低因口腔来源引起的 IE 风险，并避免围手术期和术后的口腔疼痛或感染。对于应该进行哪些治疗以及何时进行治疗，几乎没有指导。许多患有心脏病的患者可以在初级保健中心安全地接受牙科治疗。但是，通常需要考虑其他因素，包括出血风险、病情稳定性或药物相互作用。牙科团队必须了解心脏病的影响，并在必要时对护理提供做出合理调整，以确保患者安全。本文提出了一项等待心胸外科手术的患者的牙科管理方案，并探讨了该患者群体中牙科护理的重要考虑因素。
