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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 2/2019

01-02-2019 | Current Topics Review Article

Perioperative intervention by oral medicine team in cardiovascular surgery patients

Authors: Masaya Akashi, Nagisa Nanba, Junya Kusumoto, Takahide Komori

Published in: General Thoracic and Cardiovascular Surgery | Issue 2/2019

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Abstract

In brief, perioperative oral intervention consists of elimination of odontogenic foci and maintenance of oral hygiene in patients undergoing surgery. The importance of oral intervention before, during, and after medical treatments is well-known, especially in cancer patients, because odontogenic foci such as untreated deep dental caries or periodontitis can cause systemic infection in patients with myelosuppression resulting from chemotherapy. Although perioperative oral intervention is currently recommended for patients with cardiovascular disease, its efficacy in this population has not been established. This article consists of three sections: first, we review the current knowledge about the association between dental disease and cardiovascular disease to show the importance of oral hygiene maintenance and the risks of invasive dental procedures in patients with cardiovascular disease; second, we introduce pertinent, but limited evidence concerning the effect of oral care in preventing postoperative pneumonia; and finally, we present the optimal strategy for perioperative oral intervention in cardiovascular surgery patients.
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Metadata
Title
Perioperative intervention by oral medicine team in cardiovascular surgery patients
Authors
Masaya Akashi
Nagisa Nanba
Junya Kusumoto
Takahide Komori
Publication date
01-02-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 2/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-1020-0

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