A Case of Infective Endocarditis Due to Oral Streptococci After Perioperative Oral Function Management

Abstract

Infective endocarditis is an extremely serious disease that can present with a variety of clinical manifestations, including infection of valves and endocardium, in patients with cardiac disease, and is associated with risk factors such as invasive dental procedures, caries, and periodontal disease. On the other hand, it has been shown that perioperative oral function management before various surgeries, such as those for malignant tumors, cardiovascular disease, and transplantation, may prevent or reduce postoperative complications. Close coordination between the dentist and cardiac surgeon is especially necessary before heart valve surgery because of the risk of severe complications. The number of perioperative oral management procedures being performed in community dental clinics is increasing. In the absence of clear guidelines, the physician-in-charge usually determines how to best perform oral management while considering the patient’s needs. We report a case of infective endocarditis occurring after perioperative oral management in a young patient with good oral hygiene. This case shows that standardization of the techniques and widespread dissemination of the guidelines are required. Patients should be counseled regarding the importance of maintaining oral hygiene from a young age. This case report should act as a cautionary tale not only for hospital clinicians but also for community medical and dental practitioners, as the number of such patients is expected to increase in the future.

Effectivity of 5% Temulawak Extract (Curcuma xanthorrhiza) on Post-Extraction Fibroblast Cells in Wistar Rats (Rattus norvegicus)

“…Reducing inflammation at the wound site would create a less hostile environment for healing to take place, while improved blood flow to the wound area provides essential nutrients and oxygen, supporting the growth of new tissue and accelerating wound healing. 18,19,20 The result of this study showed that in the treatment group, the average increase in the number of fibroblasts was highest on Day 7, which was 342.50 cells. While in the control group, the average increase in the number of fibroblast cells was highest on Day 7, which was 298.25 cells (Table 1, Figure 1).…”

“…Another study on 5% Curcuma xanthorrhiza extract also showed that the application of the extract increased the number of fibroblasts, tissue granulation, blood vessel density and wound contraction in male diabetic Wistar rats. 18,19,20 Based on this research, it was found that 5% Curcuma xanthorriza extract gel has potential as an alternative material that can be used after tooth extraction. It was stated that there was an increase in the number of fibroblast cells that were able to accelerate wound healing, with a significant increase in Day 7 decapitation.…”

Metastatic colon carcinoma in the maxilla: Highlighting the importance of perioperative oral management: A case report

“…Importantly, POM was associated with decreased mortality rates, particularly in lung and pancreatic cancer, which was attributed to enhanced oral hygiene and swallowing function. Additionally, a case report by Nashi et al ( 40 ) underscored the significance of standardized techniques and guidelines for oral management to prevent complications, especially in patients with cardiac conditions, which served as a reminder for healthcare practitioners to prioritize appropriate POM protocols. In another study, Suzuki et al ( 41 ) reported that preoperative periodontal treatment improved oral health before and after cardiac valve surgery; the intervention group also experienced fewer postoperative fever days.…”