Evaluation of cardiac risk in dental patients

Abstract

Patients with cardiac disease, cardiac symptoms and related co-morbidities are increasingly being encountered in dental practice. Current methods of medical risk assessment can however be problematic. This paper represents a multi-speciality consensus on how to identify patients that may be more at risk of an adverse cardiac event occurring perio-operatively i.e. during or in the first few weeks after a dental procedure. Drawing on guidelines for surgery and the available literature, we present on an algorithm which aims to inform dental practitioners' decisions about which patients can be managed in primary care and which should be considered for assessment by a dental specialist together with a methodology thereof.

Manejo endodóntico actual del paciente con enfermedad cardiovascular

“…Además de otras complicaciones agudas como el infarto al miocardio, edema agudo de pulmón por insuficiencia cardíaca, accidente cerebrovascular hemorrágico, entre otros. 9,38 Diversas publicaciones han destacado el importante rol que juega la inflamación en la patogénesis de la ateroesclerosis y sus complicaciones sistémicas. Algunos estudios destacan la presencia de marcadores inflamatorios relacionados con esta patología, tales como moléculas de adhesión celular, citoquinas (interleuquinas y factores de necrosis tumorales), inmunoglobulinas, enzimas proaterogénicas, proteína C reactiva, factores de crecimiento, entre otras.…”

“…Por lo que hay que considerar este factor antes de planificar cualquier procedimiento endodóntico. 38,42…”

Assessment of Common Dental Indices and Need for Periodontal Treatment in the Cardiology Outpatients Unit at the University Hospital Gabriel Touré (UH-GT) in Bamako

“…Periodontal diseases go with chronic inflammation [6] that can lead in adulthood to various CVD [3] [4] [5] [6] [7] and reduced, unrestored dentition is associated with increased mortality risk [8] [9]. Oral health has been recognized as a priority by the World Health Organization (WHO) and also the Federation Dentaire Internationale (FDI) leading to define goals [10] [11] It is therefore important to assess the dental health, that could be done using various methods [12] [13] and also for dental practitioner to evaluation the cardiac risk of their patients [14].…”