Position paper for the evaluation and management of oral status in patients with valvular disease: Groupe de Travail Valvulopathies de la Societe Francaise de Cardiologie, Societe Frangaise de Chinirgie Orale, Societe Frangaise de Parodontologie et d'Implantologie Orale, Societe Frangaise d'Endodontie et Societe de Pathologie Infectieuse de Langue Frangaise - Université Paris Cité Accéder directement au contenu
Article Dans Une Revue Archives of cardiovascular diseases Année : 2017

Position paper for the evaluation and management of oral status in patients with valvular disease: Groupe de Travail Valvulopathies de la Societe Francaise de Cardiologie, Societe Frangaise de Chinirgie Orale, Societe Frangaise de Parodontologie et d'Implantologie Orale, Societe Frangaise d'Endodontie et Societe de Pathologie Infectieuse de Langue Frangaise

Clement Messeca
  • Fonction : Auteur
Mathieu Ballanger
  • Fonction : Auteur
Jean Luc Charrier
  • Fonction : Auteur
Philippe Tramba
  • Fonction : Auteur
Emmanuel Lansac
  • Fonction : Auteur
Xavier Duval
  • Fonction : Auteur

Résumé

Oral health is of particular importance in patients with heart valve diseases because of the risk of infective endocarditis. Recommendations for antibiotic prophylaxis before dental procedures have been restricted, but the modalities of oral evaluation and dental care are not detailed in guidelines. Therefore, a multidisciplinary working group reviewed the literature to propose detailed approaches for the evaluation and management of buccodental status in patients with valvular disease. Simple questions asked by a non-dental specialist may draw attention to buccodental diseases. Besides clinical examination, recent imaging techniques are highly sensitive for the detection of inflammatory bone destruction directly related to oral or dental infection foci. The management of buccodental disease before cardiac valvular surgery should be adapted to the timing of the intervention. Simple therapeutic principles can be applied even before urgent intervention. Restorative dentistry and endodontic and periodontal therapy can be performed before elective valvular intervention and during the follow-up of patients at high risk of endocarditis. The detection and treatment of buccodental foci of infection should follow specific rules in patients who present with acute endocarditis. Implant placement is no longer contraindicated in patients at intermediate risk of endocarditis, and can also be performed in selected high-risk patients. The decision for implant placement should follow an analysis of general and local factors increasing the risk of implant failure. The surgical and prosthetic procedures should be performed in optimal safety conditions. It is therefore now possible to safely decrease the number of contraindicated dental procedures in patients at risk of endocarditis. (C) 2017 Elsevier Masson SAS. All rights reserved.

Dates et versions

hal-01774696 , version 1 (23-04-2018)

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Citer

Sarah Millot, Philippe Lesclous, Marie-Laure Colombier, Loredana Radoi, Clement Messeca, et al.. Position paper for the evaluation and management of oral status in patients with valvular disease: Groupe de Travail Valvulopathies de la Societe Francaise de Cardiologie, Societe Frangaise de Chinirgie Orale, Societe Frangaise de Parodontologie et d'Implantologie Orale, Societe Frangaise d'Endodontie et Societe de Pathologie Infectieuse de Langue Frangaise. Archives of cardiovascular diseases, 2017, 110 (8-9), pp.482-494. ⟨10.1016/j.acvd.2017.01.012⟩. ⟨hal-01774696⟩
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