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The Value of Optimizing Dentition Before Cardiac Surgery

Published:December 12, 2006DOI:https://doi.org/10.1053/j.jvca.2006.08.001
      A PATIENT’S TEETH and intraoral tissues are not an anesthesiologist’s primary concern before a cardiothoracic procedure. However, the potentially deleterious effects of an untreated oral infection can have wide-reaching implications.
      • Beck J.D.
      • Offenbacher S.
      • Williams R.
      • et al.
      Periodontitis: A risk factor for coronary heart disease.
      • Glick M.
      Screening for traditional risk factors for cardiovascular disease A review for oral health care providers.
      Recognizing this hazard preoperatively is paramount in order to maximize the overall benefit of the procedure.
      • Kinane D.F.
      Periodontal diseases’ contribution to cardiovascular disease: An overview of potential mechanisms.
      • Lowe G.D.
      Etiopathogenesis of cardiovascular disease: Hemostasis, thrombosis, and vascular medicine.
      • Hujoel P.P.
      • Drangsholt M.
      • Spiekerman C.
      • et al.
      Pre-existing cardiovascular disease and periodontitis: A follow-up study.
      This review elaborates on the association between oral health and cardiovascular disease (CVD) by presenting the rationale for optimizing dentition before cardiac surgery, and reviews the understated role that an anesthesiologist may play in this scenario.

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