Infective endocarditis and orthodontic implications in children: A review of the literature

Vandersluis, Yona R.; Suri, Sunjay

doi:10.1016/j.ajodo.2019.03.027

Cited by 9 publications

(6 citation statements)

References 74 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Infective endocarditis (IE) is the infection of the heart valve, the endocardial surface, or the septum and accompanying systemic pathological process. 1 The overall morbidity of IE in developed countries ranges between 30 and 100 episodes per million individuals annually. 2 However, the incidence of IE in recent years has increased with the application of prosthetic valve replacement, indwelling cardiac devices, and various endovascular treatment technologies.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Risk Factors for in-Hospital Mortality in 240 Cases of Infective Endocarditis in a Tertiary Hospital in China: A Retrospective Study

Zhang¹,

Jin²,

Lu³

et al. 2022

IDR

View full text Add to dashboard Cite

Purpose This study aimed (i) to investigate the clinical characteristics and risk factors related to in-hospital mortality in patients with infective endocarditis (IE) and (ii) to compare the differences in three age groups. Methods A total of 240 IE cases diagnosed using the modified Duke criteria between January 2016 and December 2019 were included and retrospectively studied. Patients were stratified into three age groups: < 50 y, 50–65 y, and > 65 y. Results The mean age of the patients was 51 ± 14 y, and 154 patients (64.2%) were male. In addition, 136 (56.7%) patients with IE had no previous cardiac disease. Congenital heart disease (CHD, 21.3%) was the most common underlying heart disease, followed by rheumatic heart disease (RHD, 8.8%). Streptococcus was found in 55 (22.9%) patients and was the most common causative pathogen, comprising 52.9% of all positive blood cultures. Echocardiography showed the presence of vegetations in 88.3% of cases and the predominant involvement of the left heart valves. Fever and cardiac murmur were the most frequent presentations, with no significant differences among age groups. Compared with younger patients, elderly patients had a lower operation rate and higher in-hospital mortality. The independent risk factors of in-hospital mortality were age > 65 y, intracranial infection, splenic embolization, cerebral hemorrhage, NYHA class III–IV, and prosthetic valve infection. Conclusion CHD replaces RHD as the most common underlying heart disease in IE patients. Patients without previous cardiac disease are at increased risk of IE. Streptococcus is still the primary causative pathogen of IE. Elderly patients present with more comorbidities and complications, in addition to a more severe prognosis than younger patients. Age older than 65 y, intracranial infection, splenic embolization, cerebral hemorrhage, NYHA class III–IV, and prosthetic valve infection showed poorer in-hospital outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Risk Factors for in-Hospital Mortality in 240 Cases of Infective Endocarditis in a Tertiary Hospital in China: A Retrospective Study

Zhang¹,

Jin²,

Lu³

et al. 2022

IDR

View full text Add to dashboard Cite

show abstract

“…Amoxicillin is the favoured oral antibiotic because of its rapid gastrointestinal tract absorption, which provides high serum concentrations. For patients with a penicillin allergy, the use of cephalexin or other cephalosporins, clindamycin, azithromycin or clarithromycin has been recommended (Vandersluis & Suri 2020).…”

Section: Discussionmentioning

confidence: 99%

Endodontic implications of a patient with arteriovenous malformation: a case report and literature review

et al. 2021

View full text Add to dashboard Cite

Aim To present the endodontic management of a patient diagnosed with a high‐flow arteriovenous malformation (AVM) requiring root canal treatment and to discuss the relevant endodontic literature for this rare but significant problem. Summary AVM is a complex communication of an artery and a vein in which the oxygenated blood is forced away from the intended tissue. The incidence of its occurrence in the face and neck is rare, and when present, the most common sign is gingival bleeding. Arteriovenous malformation is both a diagnostic and therapeutic challenge for dentists. Also, there is ambiguity regarding the precautions to be taken whilst doing endodontic procedures in such cases. Hence, there is a need to understand the disease process and its implications in order to prevent life‐threatening complications during treatment. This case report highlights the successful endodontic management of a cariously exposed right maxillary second premolar in a patient diagnosed with high‐flow AVM. On an orthopantomogram, the AVM was spreading in the left submandibular space involving the left ramus area. The clinical findings of limited mouth opening with inter‐appointment swelling and trismus during treatment made the case unusual and challenging. This paper addresses the current understanding of the classification, diagnosis, clinical features and endodontic management, together with specific guidelines and recommendations whilst performing endodontic procedures in AVM cases. Key learning points The classification and oral manifestations of AVM must be known and understood. Practitioners should be aware of the radiographic appearance of AVM. Recommended precautions should be taken when carrying out restorative and endodontic procedures in a patient with AVM. Antibiotic prophylaxis may be considered before endodontic treatment in a patient with AVM. Multidisciplinary treatment planning may be required.

show abstract

“…Se recomienda profilaxis antibiótica para procedimientos dentales [25], [26]. La profilaxis antibiótica recomendada se administra de 30 a 60 minutos antes del procedimiento dental o hasta 2 h si se olvida la administración.…”

Section: Cardiopatía Congénitaunclassified

Anestesia para procedimientos odontológicos en pacientes pediátricos

2024

Rev. chil. anest.

View full text Add to dashboard Cite

Early childhood caries is a global health problem occurring in 30%-60% of children worldwide. Many of these children will become uncooperative due to various factors such as dental fear or complex medical conditions that don't allow the child to collaborate for dental treatments. The need and acceptance of anesthesiologist for dental treatments has a rising tendency and therefore it's important to understand the many challenges to provide anesthesia for dental procedures in children. The right venue and patient selection will reduce the probability of complications during the perioperative period. Many of the patients receiving anesthesia for dental procedures will have other medical conditions that increase the risks of complications. Generally, in well evaluated and planned patients the risks are inconsequential comparing to the benefits of dental treatment under anesthesia.

show abstract

Infective endocarditis and orthodontic implications in children: A review of the literature

Cited by 9 publications

References 74 publications

Clinical Characteristics and Risk Factors for in-Hospital Mortality in 240 Cases of Infective Endocarditis in a Tertiary Hospital in China: A Retrospective Study

Clinical Characteristics and Risk Factors for in-Hospital Mortality in 240 Cases of Infective Endocarditis in a Tertiary Hospital in China: A Retrospective Study

Endodontic implications of a patient with arteriovenous malformation: a case report and literature review

Anestesia para procedimientos odontológicos en pacientes pediátricos

Contact Info

Product

Resources

About