Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study
Abstract Aims The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). Methods and results Patients (128) with LVAD were recruited from the University Department f...
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Wiley
2020-06-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.12636 |
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| author | Jens Garbade Josephine Rast Gerhard Schmalz Mirjam Eisner Justus Wagner Tanja Kottmann Andreas Oberbach Sven Lehmann Rainer Haak Michael A. Borger Christian Binner Dirk Ziebolz |
| author_facet | Jens Garbade Josephine Rast Gerhard Schmalz Mirjam Eisner Justus Wagner Tanja Kottmann Andreas Oberbach Sven Lehmann Rainer Haak Michael A. Borger Christian Binner Dirk Ziebolz |
| author_sort | Jens Garbade |
| collection | DOAJ |
| description | Abstract Aims The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). Methods and results Patients (128) with LVAD were recruited from the University Department for Cardiac Surgery at Heart Center, Leipzig, Germany. A healthy control group (HC, n = 113) was included. Dental behaviour was assessed with a standardized questionnaire, and to evaluate oral health‐related quality of life, the German short form of oral health impact profile was applied. The presence of decayed, missing, and filled teeth; dental treatment need; periodontitis severity; and periodontal treatment need were assessed. These findings were correlated to disease‐related and device‐related factors. The minority of patients used aids for interdental hygiene (16.4%). For the LVAD patients, a German short form of oral health impact profile sum score of 4.96 ± 8.67 [0.5; 0–6] was assessed. The LVAD group suffered from more missing teeth (11.91 ± 9.13 vs. 3.70 ± 3.77; P < 0.01) than HC. More severe periodontitis was found in LVAD group (LVAD = 41.4% and HC = 27.4%; P < 0.01). Periodontal treatment need was high in both groups, without a significant difference (LVAD = 84.4% vs. HC = 86.7%; P = 0.71). LVAD therapy as bridge to transplantation was correlated with periodontal treatment need (odds ratio = 11.48 [1.27; 103.86]; P = 0.03). Further correlations between treatment need and disease specific factors were not detected. Conclusions Patients with LVAD suffer from a high periodontal treatment need and a lack in oral behaviour. Interdisciplinary special care concepts appear recommendable to improve oral health in LVAD patients. |
| format | Article |
| id | doaj-art-3be86696254e44a7a3abf41d139945b2 |
| institution | Kabale University |
| issn | 2055-5822 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-3be86696254e44a7a3abf41d139945b22025-02-03T10:25:46ZengWileyESC Heart Failure2055-58222020-06-01731273128110.1002/ehf2.12636Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional studyJens Garbade0Josephine Rast1Gerhard Schmalz2Mirjam Eisner3Justus Wagner4Tanja Kottmann5Andreas Oberbach6Sven Lehmann7Rainer Haak8Michael A. Borger9Christian Binner10Dirk Ziebolz11University Department of Cardiac Surgery Heart Center Leipzig Leipzig GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyCRO Dr. med. Kottmann GmbH & Co. KG Hamm GermanyDepartment of Diagnostics Fraunhofer Institute for Cell Therapy and Immunology Leipzig Leipzig GermanyUniversity Department of Cardiac Surgery Heart Center Leipzig Leipzig GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyUniversity Department of Cardiac Surgery Heart Center Leipzig Leipzig GermanyUniversity Department of Cardiac Surgery Heart Center Leipzig Leipzig GermanyDepartment of Cariology, Endodontology and Periodontology University of Leipzig Liebigstr. 12 LeipzigD 04103 GermanyAbstract Aims The aim of this cross‐sectional study was the assessment of dental behaviour, oral health, as well as oral health‐related quality of life of patients with left ventricular assist device (LVAD). Methods and results Patients (128) with LVAD were recruited from the University Department for Cardiac Surgery at Heart Center, Leipzig, Germany. A healthy control group (HC, n = 113) was included. Dental behaviour was assessed with a standardized questionnaire, and to evaluate oral health‐related quality of life, the German short form of oral health impact profile was applied. The presence of decayed, missing, and filled teeth; dental treatment need; periodontitis severity; and periodontal treatment need were assessed. These findings were correlated to disease‐related and device‐related factors. The minority of patients used aids for interdental hygiene (16.4%). For the LVAD patients, a German short form of oral health impact profile sum score of 4.96 ± 8.67 [0.5; 0–6] was assessed. The LVAD group suffered from more missing teeth (11.91 ± 9.13 vs. 3.70 ± 3.77; P < 0.01) than HC. More severe periodontitis was found in LVAD group (LVAD = 41.4% and HC = 27.4%; P < 0.01). Periodontal treatment need was high in both groups, without a significant difference (LVAD = 84.4% vs. HC = 86.7%; P = 0.71). LVAD therapy as bridge to transplantation was correlated with periodontal treatment need (odds ratio = 11.48 [1.27; 103.86]; P = 0.03). Further correlations between treatment need and disease specific factors were not detected. Conclusions Patients with LVAD suffer from a high periodontal treatment need and a lack in oral behaviour. Interdisciplinary special care concepts appear recommendable to improve oral health in LVAD patients.https://doi.org/10.1002/ehf2.12636Dental careLeft ventricular assist deviceOral healthDental behaviour |
| spellingShingle | Jens Garbade Josephine Rast Gerhard Schmalz Mirjam Eisner Justus Wagner Tanja Kottmann Andreas Oberbach Sven Lehmann Rainer Haak Michael A. Borger Christian Binner Dirk Ziebolz Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study ESC Heart Failure Dental care Left ventricular assist device Oral health Dental behaviour |
| title | Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study |
| title_full | Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study |
| title_fullStr | Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study |
| title_full_unstemmed | Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study |
| title_short | Oral health and dental behaviour of patients with left ventricular assist device: a cross‐sectional study |
| title_sort | oral health and dental behaviour of patients with left ventricular assist device a cross sectional study |
| topic | Dental care Left ventricular assist device Oral health Dental behaviour |
| url | https://doi.org/10.1002/ehf2.12636 |
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