PMID- 30235763
OWN - NLM
STAT- MEDLINE
DCOM- 20180928
LR  - 20221005
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 38
DP  - 2018 Sep
TI  - Oral health status of adult heart transplant recipients in China: A 
      cross-sectional study.
PG  - e12508
LID - 10.1097/MD.0000000000012508 [doi]
LID - e12508
AB  - Limited information on the oral health status of adult heart transplant 
      recipients (HTRs) is known, and no available data exist in China. A prerequisite 
      dental evaluation is usually recommended for patients' postorgan transplantation 
      because lifelong immunosuppression may predispose them to infection spread.The 
      aim of this study was to investigate the oral health status of Chinese adult HTRs 
      and determine the association between oral health status and history of heart 
      transplantation (HT).We carried out a cross-sectional study to collect clinical, 
      demographic, socioeconomic, and behavioral data from 81 adult patients who 
      received heart transplantation during 2014 to 2015 in China. Clinical 
      examinations for the presence of dental plaque, dental calculus, dental caries, 
      and periodontal health conditions were performed in a standardized manner by one 
      trained examiner. Sociodemographic, socioeconomic, and behavioral data were 
      self-reported using questionnaires. The prevalence of the above conditions was 
      compared with 63 age- and sex-matched controls. General liner regression analysis 
      was used to assess associations between mean number of decayed, missing, and 
      filled teeth (DMFT) and mean community periodontal index of treatment needs 
      (CPITN) scores and history of heart transplant.Mean age of the HT group was 
      47.7 +/- 12.2 years and men accounted for 69.1% of the sample. The overall median 
      DMFT score in the HT group was 3 (1-5) and caries prevalence was 80.2%, which 
      were similar to the control group (P > .05). The overall mean CPITN score of the 
      HT group was 1.84, which was significantly higher than the control group (1.07, 
      P = .001). Participants in the HT group had worse oral hygiene status and more 
      teeth with probing depth >/= 4 mm than controls (P = .043). Compared with 
      participants who had no history of heart transplantation, HTRs presented worse 
      periodontal health conditions (mean CPITN score, adjusted odds ratio (OR) = 1.39, 
      95% confidence interval (CI) = 1.12-1.71, P = .003) and similar dental caries 
      status (DMFT score, adjusted OR = 0.58, 95% CI = 0.37-0.91, P = .058).Periodontal 
      health status was positively associated with history of heart transplantation in 
      Chinese adult HTRs.
FAU - Cao, Ying
AU  - Cao Y
AD  - Beijing Stomatological Hospital Department of Stomatology, Beijing Anzhen 
      Hospital, Capital Medical University, Beijing City, China Department of 
      Preventive and Community Dentistry, University of Iowa, Iowa City Department of 
      Cardiac Surgery, Beijing Anzhen Hospital Department of Oral Mucosal Diseases, 
      Beijing Stomatological Hospital, Capital Medical University, Beijing City, China.
FAU - Chen, Xi
AU  - Chen X
FAU - Jia, Yixin
AU  - Jia Y
FAU - Lv, Yalin
AU  - Lv Y
FAU - Sun, Zheng
AU  - Sun Z
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Adult
MH  - Case-Control Studies
MH  - China/epidemiology
MH  - Cross-Sectional Studies
MH  - Dental Calculus/epidemiology/etiology
MH  - Dental Caries/epidemiology/etiology
MH  - Dental Plaque/epidemiology/etiology
MH  - Female
MH  - *Health Status
MH  - Heart Transplantation/*adverse effects
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Oral Health
MH  - Periodontal Diseases/*epidemiology/etiology
MH  - Periodontal Index
MH  - Postoperative Complications/*epidemiology/etiology
MH  - Postoperative Period
MH  - Prevalence
MH  - Self Report
PMC - PMC6160112
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2018/09/22 06:00
MHDA- 2018/10/03 06:00
PMCR- 2018/09/21
CRDT- 2018/09/22 06:00
PHST- 2018/09/22 06:00 [entrez]
PHST- 2018/09/22 06:00 [pubmed]
PHST- 2018/10/03 06:00 [medline]
PHST- 2018/09/21 00:00 [pmc-release]
AID - 00005792-201809210-00111 [pii]
AID - MD-D-18-02041 [pii]
AID - 10.1097/MD.0000000000012508 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Sep;97(38):e12508. doi: 10.1097/MD.0000000000012508.