Abstract：
Both dental and cardiovascular disease are prevalent in the general population, have common risk factors and may be closely associated.Following cardiothoracic surgery, patients may be higher risk for developing infective endocarditis (IE) than the general population. Before cardiothoracic interventions, it is common practice for a dental assessment to be carried out and any necessary dental treatment provided. This aims to reduce the risk of IE arising from dental sources and avoid dental pain or infection during the peri- and post-operative period. There is little guidance on which treatments should be performed and when.Many patients with cardiac disease may have dental treatment provided safely in primary care. However, there is often a need to consider additional factors, including bleeding risk, condition stability or medication interactions. Dental teams must have an awareness of the implications of cardiac disease and provide reasonable adjustments to care provision where necessary, ensuring patient safety.This article proposes a protocol for dental management of patients awaiting cardiothoracic surgery and explores important considerations for dental care in this patient group.
摘要：
牙科和心血管疾病在普通人群中都很普遍，有共同的风险因素，可能密切相关。心胸手术后,患者发生感染性心内膜炎(IE)的风险可能高于普通人群.在心胸干预之前，通常的做法是进行牙科评估并提供任何必要的牙科治疗。这旨在降低由牙科来源引起的IE的风险，并避免在围手术期和术后期间的牙齿疼痛或感染。关于应该进行哪些治疗以及何时进行治疗的指导很少。许多心脏病患者可能在初级保健中安全地提供牙科治疗。然而,通常需要考虑其他因素，包括出血风险,病情稳定性或药物相互作用。牙科团队必须了解心脏病的影响，并在必要时对护理提供进行合理调整，确保患者安全。本文提出了一种对等待心胸外科手术的患者进行牙科管理的方案，并探讨了该患者组中牙科护理的重要考虑因素。
