Oral health of patients scheduled for elective abdominal aortic correction with prosthesis.
OBJECTIVE
to evaluate the frequency of potential oral foci of infection in patients scheduled for elective abdominal aortic surgery.


METHODS
prospective clinical study.


METHODS
oral health and dentures of 50 patients (33 males and 17 females, mean age 65 years) were examined before aortic surgery.


METHODS
radiographic and clinical examination with special emphasis on identifying acute and chronic oral and ontogenic conditions which may contribute to aortic prosthesis infection.


RESULTS
eighty-two per cent of the patients had some oral infection foci. The mean number of remaining teeth in the cohort was 9.3, and 21% of these were potential infectious foci (62% in the patients). Twenty-six per cent of the patients suffered from oral Candida infection. Seventy-four per cent of the patients had total or partial dentures, 45% of which were ill-fitting and needed repair.


CONCLUSIONS
oral infectious foci occur frequently in patients needing aortic surgery. Untreated foci may contribute to aortic prosthesis infection. Preoperative oral evaluation and elimination of intraoral infection is recommended for patients scheduled for abdominal aortic repair.
Häyrinen-Immonen
R
R
Department of Oral and Maxillofacial Surgery, Institute of Dentistry, Helsinki, Finland.
Ikonen
T S
TS
Lepäntalo
M
M
Lindgren
L
L
Lindqvist
C
C
D000208:Acute Disease; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002180:Candidiasis, Oral / Q000150:complications; D002908:Chronic Disease; D015331:Cohort Studies; D003731:Dental Caries / Q000150:complications; D003824:Denture, Complete; D003829:Denture, Partial; D017558:Elective Surgical Procedures; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000150:complications; D008297:Male; D009059:Mouth Diseases / Q000150:complications*; D009909:Oral Health; D010510:Periodontal Diseases / Q000150:complications; D011446:Prospective Studies; D012737:Sex Factors; D013530:Surgical Wound Infection / Q000209:etiology; D014076:Tooth Diseases / Q000150:complications*