Morbidity and Mortality Associated With Dental Extraction Before Cardiac Operation

Smith, Mark M.; Barbara, David W.; Mauermann, William J.; Viozzi, Christopher F.; Dearani, Joseph A.; Grim, Kendra J.

doi:10.1016/j.athoracsur.2013.10.034

Cited by 45 publications

(39 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The total rate IE observed (8%) was similar to that in other studies that reported 9.2% [33] and 7% to 25% [23]. The overall mortality rate in these patients was 18%, which was in agreement with other mortality rates reported between 13% and 40% [7], [17], [23], [34].…”

Section: Discussionsupporting

confidence: 90%

“…The overall mortality rate in these patients was 18%, which was in agreement with other mortality rates reported between 13% and 40% [7], [17], [23], [34]. We obtained a low rate of postoperative complications (2.9%) during dental preparation.…”

Section: Discussionsupporting

confidence: 90%

“…In contrast, other studies conducted in the United States [23], Sweden [25] and Spain [29] did not obtain favorable results. Comparison of the data from our study with those conducted in other countries should be performed with caution because one of the factors that can influence data is the oral health status of the population subjected to CVS in these different countries.…”

Section: Discussionmentioning

confidence: 57%

“…However, the costs and benefits of dental intervention prior to cardiac valve surgery (CVS) have not been well defined. One study demonstrated an increased risk of adverse cardiac events, including a 3% likelihood of death when dental extraction was performed before cardiac surgery [23]. Another study showed no difference in the incidence of IE or other cardiac complications in patients who underwent dental surgery concomitantly with CVS [24].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?

Souza

Rocha

Castro

et al. 2016

IJC Heart & Vasculature

View full text Add to dashboard Cite

BackgroundInfective endocarditis (IE) is a serious disease that affects the surface of the endocardium. The spread of microorganisms from the oral cavity has been associated with the occurrence of IE.ObjectiveTo analyze whether dental treatment before cardiac valve surgery (CVS) influenced the occurrence of IE.MethodsWe performed a retrospective analysis of the medical and dental histories of patients undergoing CVS from 2004 to 2014. The sample consisted of 481 patients who underwent CVS divided into two groups: patients submitted to dental treatment prior to CVS (n = 110) and patients undergoing CVS without dental treatment (n = 371).ResultsOf the total sample, 38 patients (8%) were diagnosed with IE. No significant difference was detected (p = 0.496) in comparing the occurrence of IE in the group with dental preparation (6.4%) and without dental preparation (8.4%). The logistic regression model confirmed that dental treatment did not change the IE risk (p = 0.504) and indicated that age (p < 0.003) and gender (p = 0.013) were significant risk factors for IE. There was a high demand for dental procedures in the group receiving dental preparation, with no significant differences between the patients with or without IE. Hemoculture indicated qualitative differences in comparing patients with and without dental treatment, especially in the frequency of Staphylococcus and Streptococcus.ConclusionsThe results did not allow for the determination of the impact of dental treatment before CVS on IE outcomes. However, it was not possible to exclude the potential beneficial effects of dental treatment in the prevention of IE.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dental care before cardiac valve surgery: Is it important to prevent infective endocarditis?

Souza

Rocha

Castro

et al. 2016

IJC Heart & Vasculature

View full text Add to dashboard Cite

show abstract

“…They identifi ed the occurrence of major adverse events following tooth extraction before cardiac surgery and questioned the benefi ts vs. the risks. The authors alert physicians to evaluate the individualized risk of anesthesia and surgery in this patient population (9). In our letter to the editor, titled "How important is dental clearance for elective open heart operation" (10), we have indicated that the study does not provide evidentiary support for a defi nitive recommendation for or against dental surgery prior to cardiac operation.…”

mentioning

confidence: 99%