PURPOSE: The significance of dental status and oral hygiene on a range of medical conditions is well-recognised. However, the correlation between periodontitis, oral bacterial dysbiosis and visceral surgical outcomes is less well established. To this end, we study sought to determine the influence of dental health and oral hygiene on the rates of postoperative complications following major visceral and transplant surgery in an exploratory, single-center, retrospective, non-interventional study. METHODS: Our retrospective non-interventional study was conducted at the Department of General, Visceral, and Transplant Surgery, University Hospital Heidelberg, Germany. Patients operated on between January 2018 and December 2019 were retrospectively enrolled in the study based on inclusion (minimum age of 18 years, surgery at our Department, intensive care / IMC treatment after major surgery, availability of patient-specific preoperative dental status assessment, documentation of postoperative complications) and exclusion criteria (minor patients or legally incapacitated patients, lack of intensive care or intermediate care (IMC) monitoring, incomplete documentation of preoperative dental status, intestinal surgery with potential intraoperative contamination of the site by intestinal microbes, pre-existing preoperative infection, absence of data regarding the primary endpoints of the study). The primary study endpoint was the incidence of postoperative complications. Secondary study endpoints were: 30-day mortality, length of hospital stay, duration of intensive care stay, Incidence of infectious complications, the microbial spectrum of infectious complication. A bacteriology examination was added whenever possible (if and only if the examination was safe for the patient)for infectious complications. RESULTS: The final patient cohort consisted of 417 patients. While dental status did not show an influence (p = 0.73) on postoperative complications, BMI (p = 0.035), age (p = 0.049) and quick (p = 0.033) were shown to be significant prognostic factors. There was significant association between oral health and the rate of infectious complications for all surgical procedures (p = 0.034), excluding transplant surgery. However, this did not result in increased 30-day mortality rates, prolonged intensive care unit treatment or an increase in the length of hospital stay (LOS) for the cohort as a whole. In contrast there was a significant correlation between the presence of oral pathogens and postoperative complications for a group as a whole (p < 0.001) and the visceral surgery subgroup (p < 0.001). Whilst this was not the case in the cohort who underwent transplant surgery, there was a correlation between oral health and LOS in this subgroup (p = 0.040). Bacterial swabs supports the link between poor oral health and infectious morbidity. CONCLUSIONS: Dental status was a significant predictor of postoperative infectious complications in this visceral surgery cohort. This study highlights the importance preoperative dental assessment and treatment prior to major surgery, particularly in the case of elective surgical procedures. Further research is required to determine the effect of oral health on surgical outcomes in order to inform future practice. TRIAL REGISTRATION: Trial registered under the ethics-number S-082/2022 (Ethic Committee of the University Heidelberg).
- MeSH
- délka pobytu statistika a číselné údaje MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- orální hygiena MeSH
- orální zdraví MeSH
- pooperační komplikace * epidemiologie etiologie MeSH
- retrospektivní studie MeSH
- senioři MeSH
- transplantace orgánů škodlivé účinky MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- Geografické názvy
- Německo MeSH
Úvod a cieľ: Zubný kaz u detí v predškolskom veku je závažným problémom modernej spoločnosti s vysokou prevalenciou. Kaz raného detstva, anglicky early childhood caries (ECC), sa definuje ako prítomnosť jednej alebo viacerých kavitovaných alebo nekavitovaných lézií, zubov extrahovaných pre kaz alebo zubov ošetrených výplňovou terapiou u detí do 71 mesiacov veku. Hoci sa jedná o preventabilné ochorenie so známymi príčinami, je to najčastejšie chronické ochorenie u detí vôbec. Zásadne ovplyvňuje kvalitu života detí a ich rodičov a predstavuje záťaž pre verejné zdravotníctvo. Jedná sa o stav vyžadujúci odbornú starostlivosť, ktorý je ale mnohokrát ponechávaný bez terapie. Cieľom tohto prehľadového článku je zhrnúť dostupné poznatky o prevalencii, etiológii, rizikových faktoroch, komplikáciách a prevencii kazu raného detstva. Metodika: Pre tento prehľadový článok boli vyhľadávané odborné publikácie v anglickom a českom jazyku z databáz PubMed, Web of Science a Medvik, za pomoci kľúčových slov: ECC, early childhood caries, caries in children. Výsledky: Aj napriek edukácii a preventívnym opatreniam zostáva prevalencia ECC vysoká. Zarážajúca je i početnosť neošetreného ECC a s tým spojených komplikácií. Záver: Problematika kazu raného detstva je stále vysoko aktuálna. Pre pedostomatológa a praktického zubného lekára je dôležité rozumieť príčinám jeho vzniku a identifikovať rizikové faktory u daného pacienta, pričom prevencia by mala začínať už prenatálne.
Introduction and aim: Dental caries in preschool-age children is a serious problem of modern society with a high prevalence. Early Childhood Caries (ECC) is defined as the presence of one or more cavitated or noncavitated carious lesions, teeth extracted due to caries or teeth treated with filling therapy in children under the age of 71 months. Although it is a preventable disease with known causes, it is the most common chronic disease in children. It substantially affects the quality of life of children and their parents and represents a burden on public health. This condition requires professional care, but it is often left with no therapy. The aim of this review is to summarize the available knowledge on prevalence, etiology, risk factors, complications, and prevention of early childhood caries. Methods: For this review, publications in English and Czech were searched from the databases PubMed, Web of Science, and Medvik using the key words: ECC, early childhood caries, caries in children. Results: The prevalence of ECC remains high despite education and preventive measures. The frequency of untreated ECC and associated complications is also substantial. Conclusion: The issue of early childhood caries is still highly relevant. It is important for both the paediatric dentist and the general dentist to understand the causes of its development and to identify risk factors in the individual patient. Prevention of ECC should start prenatally.
- MeSH
- lidé MeSH
- orální zdraví MeSH
- předškolní dítě MeSH
- prevalence MeSH
- rizikové faktory MeSH
- stomatologická péče o děti MeSH
- ústa mikrobiologie patologie MeSH
- zubní kaz * etiologie komplikace prevence a kontrola MeSH
- Check Tag
- lidé MeSH
- předškolní dítě MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
- MeSH
- lidé MeSH
- morbidita MeSH
- nemoci zubů * epidemiologie MeSH
- orální zdraví statistika a číselné údaje MeSH
- parodontitida * epidemiologie prevence a kontrola MeSH
- prevalence MeSH
- rizikové faktory MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Geografické názvy
- Německo MeSH
This longitudinal survey aims to demonstrate improvement in oral hygiene among a group of youth with visual impairment (VI) achieved by repeated oral hygiene training, compare their progress with healthy peers (CG) and assess their oral health knowledge. In 100 VI (55♀, 45♂; ± 17.8 years) and 45 CG (23♀, 22♂; ± 17.2 years) oral hygiene training and a Quigley-Hein Plaque Index (QHI) rating were repeated six times at three-month intervals. The VI were divided into four subgroups according to the toothbrush hardness/type. A questionnaire was given to both groups. Appropriate statistical analyses were performed at 5% significance level. Both groups showed reduction in QHI, the VI had overall higher QHI values than CG. Use of an electric toothbrush in VI led to lower QHI in the last examination (p < 0.03). 69% of participants recommended dental specialists to improve communications by acquiring more illustrative aids. VI changed toothbrush less often (p < 0.02). A higher incidence of dental plaque was confirmed in VI compared to CG. After education and individual training, gradual plaque reduction has occurred in both groups. Using an electric toothbrush in VI resulted in better QHI outcomes. Repetitive preventive intervention in youth with VI helped them to adopt healthier oral hygiene habits.
- MeSH
- čištění zubů * MeSH
- dítě MeSH
- indexy plaku MeSH
- lidé MeSH
- longitudinální studie MeSH
- mladiství MeSH
- mladý dospělý MeSH
- orální hygiena * MeSH
- orální zdraví * MeSH
- poruchy zraku * epidemiologie MeSH
- průzkumy a dotazníky MeSH
- zdraví - znalosti, postoje, praxe MeSH
- zubní plak prevence a kontrola epidemiologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Poor oral health has been identified as a prognostic factor potentially affecting the survival of patients with head and neck squamous cell carcinoma. However, evidence to date supporting this association has emanated from studies based on single cohorts with small-to-modest sample sizes. METHODS: Pooled analysis of 2449 head and neck squamous cell carcinoma participants from 4 studies of the International Head and Neck Cancer Epidemiology Consortium included data on periodontal disease, tooth brushing frequency, mouthwash use, numbers of natural teeth, and dental visits over the 10 years prior to diagnosis. Multivariable generalized linear regression models were used and adjusted for age, sex, race, geographic region, tumor site, tumor-node-metastasis stage, treatment modality, education, and smoking to estimate risk ratios (RR) of associations between measures of oral health and overall survival. RESULTS: Remaining natural teeth (10-19 teeth: RR = 0.81, 95% confidence interval [CI] = 0.69 to 0.95; ≥20 teeth: RR = 0.88, 95% CI = 0.78 to 0.99) and frequent dental visits (>5 visits: RR = 0.77, 95% CI = 0.66 to 0.91) were associated with better overall survival. The inverse association with natural teeth was most pronounced among patients with hypopharyngeal and/or laryngeal, and not otherwise specified head and neck squamous cell carcinoma. The association with dental visits was most pronounced among patients with oropharyngeal head and neck squamous cell carcinoma. Patient-reported gingival bleeding, tooth brushing, and report of ever use of mouthwash were not associated with overall survival. CONCLUSIONS: Good oral health as defined by maintenance of the natural dentition and frequent dental visits appears to be associated with improved overall survival among head and neck squamous cell carcinoma patients.
- MeSH
- dlaždicobuněčné karcinomy hlavy a krku epidemiologie MeSH
- lidé MeSH
- nádory hlavy a krku * epidemiologie MeSH
- orální zdraví MeSH
- spinocelulární karcinom * patologie MeSH
- studie případů a kontrol MeSH
- ústní vody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- MeSH
- hromadné sdělovací prostředky MeSH
- orální zdraví * MeSH
- vzdělávání pacientů jako téma MeSH
- Publikační typ
- rozhovory MeSH
- MeSH
- geriatrické zubní lékařství metody přístrojové vybavení MeSH
- kvalita života MeSH
- lidé MeSH
- návrh zubní protézy metody MeSH
- orální zdraví * klasifikace MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- stomatologická protetika metody MeSH
- zubní protéza metody ošetřování MeSH
- Check Tag
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- přehledy MeSH
