title: Oral health of patients with severe rheumatic heart disease.
abstract: In order to determine whether adequate attention is paid to the maintenance of good oral health in patients at risk of developing infective endocarditis, we studied 44 black patients with severe rheumatic heart disease before they had cardiac surgery. Plaque and gingival index scores were calculated and panoramic radiographs were done in all patients. There were 17 males and 27 females (mean age: 30.6 years). The plaque and gingival index scores were classified as poor in 31.8 and 54.6% of patients, respectively. Panoramic radiographic findings included caries in 56.8% of patients, peri-apical pathology in 18.1% and retained roots in 22.7% of patients. This study demonstrates that inadequate attention is paid to the maintenance of good oral health in patients with severe rheumatic heart disease. The oral and dental care of patients at risk of developing infective endocarditis needs to be improved.
authors: Department of Therapeutics and Medicines Management, University of KwaZulu-Natal, Durban, South Africa. maharajb4@ukzn.ac.za
authors: Breminand
authors: B
authors: Maharaj
authors: Ahmed C
authors: AC
authors: Vayej
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People; D006348:Cardiac Surgical Procedures; D003731:Dental Caries / Q000150:complications / Q000175:diagnosis; D003773:Dental Plaque / Q000150:complications / Q000175:diagnosis; D004696:Endocarditis / Q000208:ethnology / Q000209:etiology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health / Q000208:ethnology; D010510:Periodontal Diseases / Q000150:complications / Q000175:diagnosis* / Q000208:ethnology; D010512:Periodontal Index; D011237:Predictive Value of Tests; D011862:Radiography, Panoramic; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis* / Q000208:ethnology / Q000601:surgery; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D013019:South Africa / Q000453:epidemiology; D014076:Tooth Diseases / Q000150:complications / Q000175:diagnosis* / Q000208:ethnology; D055815:Young Adult