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Insufficient Oral Behaviour and the High Need for Periodontal Treatment in Patients with Heart Insufficiency and after Heart Transplantation: A Need for Special Care Programs?

Background: The aim of this cross-sectional study was the assessment of dental behaviour
and oral health condition of heart transplant recipients (HTx) in comparison to patients with heart
insufficiency (HI). Methods: Patients attending the Department for Cardiac Surgery, Leipzig Heart
Center, Germany were recruited. Standardized questionnaires regarding dental behaviour and
periodontal complaints were applied. A dental (decayed-, missing- and filled-teeth index) and
periodontal examination (periodontal probing depth (PPD) and clinical attachment loss (CAL)) was
performed. Based on the oral findings, dental and periodontal treatment need was determined.
Statistics: T-test, Mann-Whitney U test, Chi-square test, and Fisher-test (p < 0.05). Results: A total of
201 patients (HTx: 112, HI: 89) were included. HTx patients were significantly more often allocated
to dentists (p < 0.01). Furthermore, the HTx patients rated feeling informed appropriately about
oral health more often (p < 0.01). HTx patients used interdental cleaning (p < 0.01) and mouth rinse
(p = 0.02) more often than HI patients. No differences between groups were present regarding dental
status and periodontitis severity (p > 0.05). Periodontal treatment need was high, showing prevalence
of 79.5% (HTx) and 87.6% (HI, p = 0.14), respectively. Conclusions: Both groups show insufficient
oral behaviour and a high need for periodontal treatment. Special care programs for HTx candidates
and recipients appear recommendable.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:84641
Date06 April 2023
CreatorsBinner, Christian, Wagner, Justus, Schmalz, Gerhard, Eisner, Mirjam, Rast, Josephine, Kottmann, Tanja, Haak, Rainer, Oberbach, Andreas, Borger, Michael A., Garbade, Jens, Ziebolz, Dirk
PublisherMDPI
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation2077-0383, 1668

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