Avaliação da condição de saúde bucal em pacientes que apresentam risco de endocardite

Abstract

Objetive The aim of this study was to evaluate the oral health status of patients at high risk of developing infective endocarditis treated at the IMIP. The study was carried out through the database of the hospital dentistry service provided to these patients. Methods Secondary data obtained from medical records of patients admitted to the cardiology ward of Hospital Dom Pedro II in Recife, Pernambuco, were used. For data collection, the dental evolution form of the patients was used, in which the information obtained in the consultation, contained in the medical record, as well as the information on oral health are registered. Results From a total of 583 medical records of adults admitted to the IMIP cardiology ward from January 2017 to August 2020 were analyzed. Of these, 216 medical records were included in the study sample. The prevalence of infective endocarditis was 11.5% (n = 18) and the risk of infective endocarditis was considered high for the majority (n = 196; 93.3%). Oral complaints were reported by 15.1% (n = 30) and oral hygiene was considered deficient for the most part (n = 95; 48.7%). Conclusions The oral health status of patients with cardiac conditions predisposing to endocarditis infection is not satisfactory. A large part needs invasive treatment, which increases the risk of bacteremia. Thus, a continuous dental care protocol for cardiac patients is needed in order to improve oral health conditions.