Do dental screening and treatments prior to heart valve interventions help prevent prosthetic valve endocarditis? A systematic review
- 14 December 2022
- journal article
- review article
- Published by Peertechz Publications Private Limited in Journal of Dental Problems and Solutions
- Vol. 6 (1), 055-061
- https://doi.org/10.17352/2394-8418.000118
Abstract
Routine screening for infectious dental foci prior to elective heart valve replacement may help prevent postoperative Prosthetic Valve Endocarditis (PVE), a potentially fatal complication. This systematic review assesses the effect of routine screening for infectious dental foci on the incidence of postoperative PVE. The Cochrane Library, PubMed and EMBASE databases were all searched for relevant primary studies. The GRADE system was used to rate the studies. Three primary studies with a very low level of evidence were included in the review. No significant difference was found between the incidence of PVE in groups with or without routine screening for infectious dental foci prior to heart valve replacement. The results of this review do not support or disprove the need for preoperative screening for infectious dental foci to prevent PVE in patients undergoing heart valve replacement. Further research is necessary.Keywords
This publication has 30 references indexed in Scilit:
- Malnutrition in cardiac surgery: food for thoughtEuropean Journal of Preventive Cardiology, 2012
- Grading quality of evidence and strength of recommendations in clinical practice guidelines: Part 2 of 3. The GRADE approach to grading quality of evidence about diagnostic tests and strategiesAllergy, 2009
- Grading quality of evidence and strength of recommendations in clinical practice guidelinesAllergy, 2009
- VALVE DISEASE: Surgery of valve disease: late results and late complicationsHeart, 2001
- The Significance of Oral Health and Dental Treatment for the Postoperative Outcome of Heart Valve SurgeryScandinavian Cardiovascular Journal, 1999
- New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findingsThe American Journal of Medicine, 1994
- Cardiovascular infections: bacterial endocarditis of oral origin. Pathogenesis and prophylaxisJournal of Clinical Periodontology, 1990
- Infective endocarditis. Olmsted County, Minnesota, 1950 through 1981JAMA, 1985
- Risk factors for the development of prosthetic valve endocarditis.Journal of the American College of Cardiology, 1985
- How important are dental procedures as a cause of infective endocarditis?The American Journal of Cardiology, 1984