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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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2020-06-01
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.
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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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