Pre-cardiac dental treatment does not increase the risk of a
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Elimination of dental sources of infection prior to cardiovascular surgery (CVS) is performed to reduce peri-operative infection and complications.

This study aims to evaluate if preoperative dental intervention is associated with an increased risk of adverse events.

A retrospective medical record review of inpatient consultations (n=1513) was performed. 738 consults met the inclusion criteria and were divided into 4 groups: Group A was dentally unhealthy and received the surgical dental intervention, Group B was dentally unhealthy and underwent non-surgical dental treatment, Group C was dentally unhealthy and did not receive the recommended dental treatment, and Group D was dentally healthy requiring no intervention. They were evaluated for major adverse events in 3 categories: dental complications, medical complications, and death.

- Dental complications were only experienced in Group A, all of which were bleeding. Only 2 patients were found to have major bleeding, which was more likely due to anticoagulation and CVS rather than dental extractions.

- There was no significant difference in the number of medical adverse events or number of deaths during the post-operative period between groups.

The results of this study suggest that the elimination of oral infection prior to CVS does not increase the risk of morbidity or mortality.

Journal of Oral and Maxillofacial Surgery
Source: https://doi.org/10.1016/j.joms.2021.07.005
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