A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease

Lam, Olt; Zhang, Wen; Samaranayake, LP; Li, Leonard S.W.; McGrath, Colman

doi:10.1016/j.ijcard.2010.11.014

Cited by 44 publications

(51 citation statements)

References 72 publications

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“…This is consistent with a previous study that reported poor oral health practices among people with heart disease [39]. Although one study reported that only 38% of people with CVD sought dental care [29], no specific Australian data on the oral health status or uptake of dental services is available for patients with CVD. More general data on the oral health status of Australians show that about 44% adults have regular (every 6 to 12 months) dental visits [10].…”

Section: Discussionsupporting

confidence: 90%

“…Although the effectiveness of periodontal treatment in improving cardiovascular outcomes has not been confirmed [18, 29, 30], there is international consensus that patients with CVD need to be made aware of the importance of oral health and recommended that a risk assessment and referral to see a dentist be provided [8, 14, 31, 32]. A recent scoping review has also shown that nurses who are involved in providing cardiac care could play a more active role in delivering preventative oral health care [33].…”

Section: Introductionmentioning

confidence: 99%

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Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

et al. 2017

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Main objectiveThe aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health.MethodA needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.ResultsResults suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.Relevance to clinical practiceThe lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

et al. 2017

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“…Paediatricians and doctors should have a good understanding of this important epidemic, give appropriate health advice, and make appropriate early referrals to dentists [11]. The importance of maintaining good oral hygiene and oral health in the prevention of pneumonia among nursing home residents [12], as well as in the management of patients with diabetes [7], cardiovascular diseases [13], and chronic kidney disease [14] have been amply reported.…”

Section: Discussion:-mentioning

confidence: 99%

Understanding Between Medical and Dental Professionals.

Sunil¹,

Eapen²

2017

IJAR

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“…9 Paediatricians and other doctors should have a good understanding of this important epidemic, give appropriate health advice, and make appropriate early referrals to dentists. 10 The importance of maintaining good oral hygiene and oral health in the prevention of pneumonia among nursing home residents, 11 as well as in the management of patients with diabetes, 3 cardiovascular diseases, 12 and chronic kidney disease 13 have been amply reported. Patients with dental emergencies such as traumatic injury to teeth may turn up in a medical clinic, but some doctors may not be well-prepared to provide primary management of such a problem because of a lack of education in this field of practice.…”

Section: Enhancing Health Care Services Through Close Collaboration Bmentioning

confidence: 99%

Enhancing health care services through close collaboration between medical and dental professionals

2014

Hong Kong Med J

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A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease

Cited by 44 publications

References 72 publications

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

Understanding Between Medical and Dental Professionals.

Enhancing health care services through close collaboration between medical and dental professionals

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