Abstract
Aim
To reach a consensus on a consistent strategy to adopt when screening patients for
dental/periodontal infections, and on the feasibility of providing dental treatment
before cardiothoracic surgery, cardiovascular surgery or other cardiovascular invasive
procedures.
Methodology
A panel of experts from six Italian scientific societies was created. The deliberations
of the panel were based on the RAND method. From an initial systematic literature
review, it became clear that a consensually validated protocol for the reproducible
dental screening of patients awaiting cardiac interventions was considered mandatory
by professionals with expertise in the dental, cardiologic and cardiac surgery areas.
However, systematic review also concluded that the treatment options to be provided,
their prognosis and timing in relation to the physical condition of patients had never
been defined. Following the systematic review several fundamental questions were generated.
The panel was divided into two working groups each of which produced documents that
addressed the topic and which were subsequently used to generate a questionnaire.
Each member of the panel completed the questionnaire independently and then a panel
discussion was held to reach a consensus on how best to manage patients with dental/periodontal
infections who were awaiting invasive cardiac procedures.
Results
A high level of agreement was reached regarding all the items on the questionnaire,
and each of the clinical questions formulated were answered. Three tables were created
which can be used to generate a useful tool to provide standardized dental/periodontal
screening of patients undergoing elective cardiovascular interventions, and to summarize
both the possible oral and cardiovascular conditions of the patient and the timing
available for the procedures considered.
Conclusions
Upon publication of this consensus document, the dissemination of the information
to a wide dental and cardiac audience should commence. The authors hope that this
consensus can become a model for the development of a dedicated protocol, ideally
usable by heart and dental teams in the pre-interventional preparation phase.
Keywords
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Article info
Publication history
Published online: June 17, 2019
Footnotes
☆© 2018 Jointly by the International Endodontic Journal (Published by John Wiley & sons Ltd) and Elsevier B.V. All rights reserved.
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
