scholarly journals Prevention of infective endocarditis in dental procedures for tetralogy of fallot patients

2021 ◽  
Vol 5 (2) ◽  
pp. 66
Author(s):  
Ari Rosita Irmawati ◽  
Ayulistya Paramita Sutarto
Keyword(s):  
Infective Endocarditis ◽  
Oral Cavity ◽  
Tetralogy Of Fallot ◽  
Dental Treatment ◽  
Treatment Plan ◽  
Pediatric Dentistry ◽  
Prophylactic Antibiotics ◽  
Corrective Surgery ◽  
Pulp Chamber ◽  
Dental Procedures

Objectives: Tetralogy of Fallot (ToF) is a congenital heart defect that is often found in children. Complication that can occur is infective endocarditis caused by bacteria that are often found in the oral cavity. Children with ToF are in a high risk of caries, especially in primary dentition. Preparation of the oral cavity must be done before the cardiac surgery. A proper examination and diagnosis of caries is required in determining the dental treatment to reduce the risk of infective endocarditis. Case Report: A boy aged 4 years, weighing 20 kg came to the pediatric dentistry clinic in Surabaya on a referral from Kediri. The patient had ToF with high caries index and will undergo cardiac corrective surgery. Through a brief anamnesis, it was found that this patient's fingernails and lips easily turn blue (cyanosis) if the patient is in an anxious condition. The panoramic photo shows teeth 51, 52, 54, 61, 62, 74, 84 showing radiolucent images from the enamel to the pulp chamber. Conclusion: Prophylactic antibiotics should be given to ToF patients before procedures involving the gingiva and pulp. Radiographs are needed to help establish the diagnosis and plan treatment. Proper oral and dental care must be taken to prevent the occurrence of infective endocarditis. Errors in determining the diagnosis can lead to errors in the treatment plan and increase the risk of infective endocarditis.

Dental care of patients scheduled for cardiovascular surgery: which protocols to follow?

2021 ◽  
pp. 1-7
Author(s):  
Farhan Raza Khan ◽  
Humayun Kaleem Siddiqui ◽  
Muhammad Tariq Khan
Keyword(s):  
Infective Endocarditis ◽  
Cardiovascular Surgery ◽  
Dental Treatment ◽  
Scientific Evidence ◽  
Real Life ◽  
Cardiac Operation ◽  
Valvular Surgery ◽  
Dental Procedures ◽  
Life Challenges ◽  
Cardiac Operations

Abstract Dental extraction of abscessed or infected teeth before cardiac operation is frequently advocated to lower the risk of infections especially infective endocarditis. The scientific evidence that supports dental procedures before cardio-valvular surgery is however limited. The aim of the present paper was to explore whether there are any protocols for patients needing dental treatment before cardiac operations. Moreover, we have discussed the real life challenges encountered in the management of such patients. Continuous....

Prescribing for the prevention of infective endocarditis: A study into the use of prophylactic antibiotics in the Armed Forces Dental Services

1984 ◽  
Vol 70 (3) ◽  
pp. 149-159
Author(s):  
A. J. Woodman
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Dental Treatment ◽  
Armed Forces ◽  
Prophylactic Antibiotics ◽  
High Dose ◽  
Dental Services ◽  
Dental Practitioners ◽  
Armed Services ◽  
Responsible Manner

SummaryA review of the rationale for the use of antibiotic prophylaxis to prevent the effects of bacteraemia associated with dental treatment is presented with the background to the development of currently recommended high-dose prescribing. The results of a survey within the Armed Services into the current use of antibiotic prophylaxis indicate a wide variety of prescribing schedules, mostly considered effective by accepted standards. However, the use of antibiotics when penicillin hypersensitivity exists was often associated with doses considered ineffective against bacteraemia. The readiness to prescribe repeated prophylaxis was indicative of a lack of awareness of the problems of resistance within the Services for oral prophylaxis which was provided for most medical conditions in a responsible manner. Most replies indicated that there was room for improvement in communication between the patient and medical and dental practitioners regarding the dental involvement in infective endocarditis.

Prosthetic Joint Infection Following Invasive Dental Procedures and Antibiotic Prophylaxis in Patients With Hip or Knee Arthroplasty

2016 ◽  
Vol 38 (2) ◽  
pp. 154-161 ◽  
Author(s):  
Feng-Chen Kao ◽  
Yao-Chun Hsu ◽  
Wen-Hui Chen ◽  
Jiun-Nong Lin ◽  
Ying-Ying Lo ◽  
...  
Keyword(s):  
Antibiotic Prophylaxis ◽  
Prosthetic Joint Infection ◽  
Cox Regression ◽  
Dental Treatment ◽  
Joint Infection ◽  
Prophylactic Antibiotics ◽  
Prosthetic Joint ◽  
Dental Procedures ◽  
Cohort Difference ◽  
Increased Risk

OBJECTIVESWe aimed to clarify whether invasive dental treatment is associated with increased risk of prosthetic joint infection (PJI) and whether prophylactic antibiotics may lower the infection risk remain unclear.DESIGNRetrospective cohort study.PARTICIPANTSAll Taiwanese residents (N=255,568) who underwent total knee or hip arthroplasty between January 1, 1997, and November 30, 2009, were screened.METHODSThe dental cohort consisted of 57,066 patients who received dental treatment and were individually matched 1:1 with the nondental cohort by age, sex, propensity score, and index date. The dental cohort was further divided by the use or nonuse of prophylactic antibiotics. The antibiotic and nonantibiotic subcohorts comprised 6,513 matched pairs.RESULTSPJI occurred in 328 patients (0.57%) in the dental subcohort and 348 patients (0.61%) in the nondental subcohort, with no between-cohort difference in the 1-year cumulative incidence (0.6% in both, P=.3). Multivariate-adjusted Cox regression revealed no association between dental procedures and PJI. Furthermore, PJI occurred in 13 patients (0.2%) in the antibiotic subcohort and 12 patients (0.18%) in the nonantibiotic subcohorts (P=.8). Multivariate-adjusted analyses confirmed that there was no association between the incidence of PJI and prophylactic antibiotics.CONCLUSIONSThe risk of PJI is not increased following dental procedure in patients with hip or knee replacement and is unaffected by antibiotic prophylaxis.Infect Control Hosp Epidemiol. 2017;38:154–161

scholarly journals DEVELOPING AN INDIVIDUALIZED TREATMENT PLAN FOR DENTAL PATIENTS WITH ACCOMPANYING SENSITIZATION TO BACTERIA, FOOD, POLLEN, AND MORE

2020 ◽  
Vol 26 (4) ◽  
pp. 3378-3382
Author(s):  
Mariana Cekova-Yaneva ◽  
◽  
Iliyana Stoeva-Ivanova ◽  
Georgi S. Nikolov ◽  
◽  
...  
Keyword(s):  
Oral Cavity ◽  
Dental Treatment ◽  
Cell Damage ◽  
Treatment Plan ◽  
Holistic Approach ◽  
Individualized Treatment ◽  
Treatment Result ◽  
Type I ◽  
Dental Patients ◽  
Wide Range

Contemporary dental medicine offers a wide range of materials and techniques for the rehabilitation of the dentomaxillofacial system, which in recent years has led to a dramatic increase in allergic reactions in sensitized patients after dental treatment. Once in the oral cavity, saliva and gastrointestinal tract, dental medication or dental material release products that, under certain conditions, can cause direct cell damage or induce an immunological/allergic reaction. The local and systemic reactivity in each individual is different and this explains why biocompatible materials that persist in the oral cavity elicit an immune/allergic response in some patients while none is evident in others. Dental medications, and especially materials that permanently remain in the oral cavity (composites, plastics, metal alloys, etc.), cause hypersensitivity reactions mainly of type IV (slow) and less often of type I (fast). It is very important to develop an individualized treatment plan for dental patients with accompanying sensitization to bacteria, food, pollen, and more. There is no doubt that the implementation of a holistic approach in the treatment of sensitised patients is a prerequisite for a much more successful treatment performed by the dentist. This imposes work in close collaboration with an interdisciplinary team using the possibilities of the modern achievements of immunology and allergology. Patients’ history data and the results from skin allergy tests are the basis of application of individualized treatment approach and personalized immunotherapy for each separate patient, as well as of treatment result control.

Clinical Usefulness of Proseal Laryngeal Mask Airway for Anesthesia during Dental Procedures in Children

2015 ◽  
Vol 39 (2) ◽  
pp. 179-182 ◽  
Author(s):  
Young-Jae Kim ◽  
Hong-Keun Hyun ◽  
Jung-Wook Kim ◽  
Ki-Taeg Jang ◽  
Sang-Hoon Lee ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Airway Management ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Oxygen Desaturation ◽  
Proseal Laryngeal Mask Airway ◽  
Laryngeal Mask ◽  
University Hospital ◽  
Anesthetic Care ◽  
Dental Procedures

Aim: Although the Proseal laryngeal mask airway (PLMA) has been widely used in anesthesia, little is known about its clinical effectiveness during dental procedures. We describe the clinical feasibility of the PLMA for managing airways in the field of pediatric dentistry. .Study design: We reviewed the medical records of children who underwent airway management with the use of the PLMA from January 2011 to December 2012 at an outpatient facility at Seoul National Dental University Hospital. Results: During the study period, the airways of 19 children were managed with the PLMA for dental procedures. During its placement, blood pressure and heart rate were stably maintained. There were no interruptions of the dental procedures. None of the children experienced oxygen desaturation or ventilation difficulty. In one patient, the PLMA was dislodged for a short time, but the problem was easily solved with repositioning. After transferring to the post-anesthetic care unit, there were no incidences of oxygen desaturation or vomiting. All of the children were discharged from the hospital without complications. Conclusion: The PLMA can be successfully used in airway management during dental treatment in children.

scholarly journals Streptococcus gordonii: A Rare Cause of Infective Endocarditis

2019 ◽  
Vol 2019 ◽  
pp. 1-2 ◽  
Author(s):  
Natalia Mosailova ◽  
Justina Truong ◽  
Tyson Dietrich ◽  
John Ashurst
Keyword(s):  
Infective Endocarditis ◽  
Oral Cavity ◽  
Antibiotic Prophylaxis ◽  
Streptococcus Gordonii ◽  
Invasive Procedures ◽  
Dental Abscess ◽  
Dental Procedures ◽  
Life Threatening

Infective endocarditis is a rare but life-threatening disease seen across the globe. Organisms from the oral cavity still represent a large proportion of pathogens seen in endocarditis and can be from either daily dental routines or invasive procedures. With the recent changes to antibiotic prophylaxis for infective endocarditis prior to dental procedures, the physician must have a heightened degree of suspicion when presented with a patient with undifferenced sepsis following dental procedures. The authors present a case of infective endocarditis caused by Streptococcus gordonii after the drainage of a dental abscess.

scholarly journals Types of sedation used in pediatric dentistry

2021 ◽  
Author(s):  
Hanan Raja Aljohani ◽  
Rinad Abdulmonam Albalawi ◽  
Fajr Adel Orri ◽  
Khalid Mubarak Alshammari ◽  
Narmeen Abdulmannan Shikdar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Pediatric Dentistry ◽  
Careful Monitoring ◽  
Routes Of Administration ◽  
Pediatric Dentist ◽  
Dental Procedures ◽  
Different Types ◽  
The Media ◽  
The Right

Childhood dental anxiety usually results from painful and frightening dental traumas. Accordingly, children might want to avoid dental treatment if not adequate precautions were not taken during these settings. Thus, sedation is being widely used in different dental settings with favorable outcomes. In the present literature review, we have discussed sedation's different types and approaches in pediatric dentistry settings. We also reviewed the main medications that can be administered in these settings, together with the potential routes of administration, safety and contraindications. As a result, the pediatric dentist should identify patients suitable for sedation, choose the right type of sedation, prepare the media for successful procedures, and select the proper medication. Careful monitoring and adequate preparation are also critical to enhance the prognosis and manage the potential complications. Eventually, sedation might improve the compliance of pediatric patients and reduce the dilemma of fear from painful dental procedures. This has been associated with favorable outcomes for the dentist, as well. Therefore, further research is needed for additional validation and innovation in this field.

Restorative dental treatment in times of COVID-19

2020 ◽  
Vol 68 ◽  
Author(s):  
Robson de Lima GOMES ◽  
Marlus da Silva PEDROSA ◽  
Claudio Heliomar Vicente da SILVA
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Dental Treatment ◽  
Close Contact ◽  
Cross Contamination ◽  
Clinical Protocols ◽  
Know How ◽  
Dental Procedures ◽  
Dental Staff ◽  
Dental Professional ◽  
Restrictive Measures

ABSTRACT Since the outbreak of the Coronavirus Disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), numerous restrictive measures have been adopted by governments of different countries. The return to elective dental care in Brazil is a reality even during the COVID-19 pandemic. During restorative dental procedures, the dental professional requires close contact with the patient, being exposed to contaminated saliva and fluids. In addition, transmission of COVID-19 by the generation of aerosol produced by dental handipieces may be possible. Thus, the dental staff must know how to act during restorative dental procedures, putting into practice the correct clinical protocols to avoid cross-contamination and COVID-19 spread. The purpose of this article is to review the literature on the biosafety practices especially in the context of restorative dental procedures in times of COVID-19.

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