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Oral health of patients scheduled for elective abdominal aortic correction with prosthesis
R Häyrinen-Immonen1, T S Ikonen, M Lepäntalo
1Department of Oral and Maxillofacial Surgery, Institute of Dentistry, Helsinki, Finland.
Objective:
to evaluate the frequency of potential oral foci of infection in patients scheduled for elective abdominal aortic surgery.
Design:
prospective clinical study.
Materials:
oral health and dentures of 50 patients (33 males and 17 females, mean age 65 years) were examined before aortic surgery.
Chief Outcome Measures:
radiographic and clinical examination with special emphasis on identifying acute and chronic oral and ontogenic conditions which may contribute to aortic prosthesis infection.
Results:
eighty-two per cent of the patients had some oral infection foci. The mean number of remaining teeth in the cohort was 9.3, and 21% of these were potential infectious foci (62% in the patients). Twenty-six per cent of the patients suffered from oral Candida infection. Seventy-four per cent of the patients had total or partial dentures, 45% of which were ill-fitting and needed repair.
Conclusions:
oral infectious foci occur frequently in patients needing aortic surgery. Untreated foci may contribute to aortic prosthesis infection. Preoperative oral evaluation and elimination of intraoral infection is recommended for patients scheduled for abdominal aortic repair.