Infectious endocarditis x dental treatment: Literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i11.43816

Keywords:

Infectious endocarditis; Antibiotics; Antibiotic prophylaxis; Dentistry.

Abstract

Introduction: Infective endocarditis is a rare but serious condition that affects heart valves. Dental procedures can pose a risk for this condition, highlighting the importance of preventive dentistry and knowledge of prophylactic guidelines by dentists. The use of antibiotics is essential in preventing endocarditis and must follow international guidelines. Objectives: Identify and establish risk groups for endocarditis related to dental procedures, highlight the role of the dentist in prevention, and address the conduct discussed in predisposed patients, with an emphasis on guidelines for the use of precautions. Methodology: 9 articles were selected after bibliographic research in the Scielo, PubMed and ScienceDirect databases, with inclusion criteria of articles published between 2018 and 2023 in Portuguese and English. Results: There are several guidelines for antibiotic prophylaxis, with variations over time. The American Heart Association (AHA) has recommended prophylaxis since 1955, but there have been changes. NICE discontinued one recommendation, while Brazilian and inter-American guidelines still recommend it for high-risk patients. Conclusion: It was found that patients with a history of previous infective endocarditis, cardiac valve prostheses, uncorrected cyanotic congenital heart disease, among other specific conditions, are considered at high risk for developing IE after invasive dental procedures.

References

Budea, C. M., Bratosin, F., Bogdan, I., Bota, A. V., Turaiche, M., Tirnea, L., Stoica, C. N., Csep, A. N., Feciche, B., Pescariu, S. A., Popa, M., Mavrea, A., Bumbu, B. A., Bandi, S. S. S., & Marincu, I. (2023). Apresentação clínica e fatores de risco de endocardite infecciosa em idosos: uma revisão sistemática. Revista de Medicina Personalizada, 13 (2). https://doi.org/10.3390/jpm13020296.

Cummins, J., McCarthy, M., Esterman, A., Karve, A., & Lee, A. (2020). Knowledge and compliance of dentists’ and dental students’ with respect to relevant guidelines for prescribing antibiotic prophylaxis for the prevention of infective endocarditis: A systematic review. The Journal of Evidence-Based Dental Practice, 20(1), 101311. https://doi.org/10.1016/j.jebdp.2019.01.007.

Endocardite Infecciosa: Uma Revisão Contemporânea. (2020) Procedimentos da Clínica Mayo. Clínica Mayo, 95(5), 982–997.

Franconieri, F., Join-Lambert, O., Creveuil, C., Auzou, M., Labombarda, F., Aouba, A., Verdon, R., & de La Blanchardière, A. (2021). Rothia spp. infective endocarditis: A systematic literature review. Infectious Diseases Now, 51(3), 228–235. https://doi.org/10.1016/j.medmal.2020.10.021.

Gopalakrishnan, P. P., Shukla, S. K., & Tak, T. (2009). Infective endocarditis: rationale for revised guidelines for antibiotic prophylaxis. Clinical Medicine & Research, 7(3), 63–68. https://doi.org/10.3121/cmr.2009.848 Hubers, SA, et al. (2020). Endocardite Infecciosa: Uma Revisão Contemporânea. Procedimentos da Clínica Mayo, 95(5), 982 -997.

Kothari, S. S. (2017). Caso clínico interativo: fazer ou não fazer profilaxia para endocardite infecciosa. Coração Ásia, 9(1), 27-29.

Kumar, A., & Rai, A. (2018). Oral health status, health behaviour and treatment needs of patients undergoing cardiovascular surgery. Revista brasileira de cirurgia cardiovascular: orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular, 33(2). https://doi.org/10.21470/1678-9741-2017-0137.

Larvin, H., Kang, J., Aggarwal, V. R., Pavitt, S., & Wu, J. (2021). Risk of incident cardiovascular disease in people with periodontal disease: A systematic review and meta‐analysis. Clinical and Experimental Dental Research, 7(1), 109–122. https://doi.org/10.1002/cre2.336

Lockhart, P. B., et al. (2019). Efeito do tratamento odontológico antes da cirurgia valvar cardíaca: revisão sistemática e meta-análise. Jornal da American Dental Association (1939), 150(9), 739-747.e9.

Lockhart, P. B., DeLong, H. R., Lipman, R. D., Abt, E., Baddour, L. M., Colvin, M., Miller, C. S., Sollecito, T., O’Brien, K., Estrich, C. G., Araujo, M. W. B., & Carrasco-Labra, A. (2019). Effect of dental treatment before cardiac valve surgery. Journal of the American Dental Association (1939), 150(9), 739-747.e9. https://doi.org/10.1016/j.adaj.2019.04.024.

Rutherford, S. J., Glenny, A.-M., Roberts, G., Hooper, L., & Worthington, H. V. (2022). Antibiotic prophylaxis for preventing bacterial endocarditis following dental procedures. The Cochrane Library, 2022(5). https://doi.org/10.1002/14651858.cd003813.pub5.

Shimizu, K., Horinishi, Y., Sano, C., & Ohta, R. (2022). Infection route of Parvimonas micra: A case report and systematic review. Healthcare (Basel, Switzerland), 10(9), 1727. https://doi.org/10.3390/healthcare10091727.

Zeng, B. S., Lin, S. Y., Tu, Y. K., Wu, Y. C., Stubbs, B., Liang, C. S., Yeh, T. C., Chen, T. Y., Carvalho, A. F., Lin, P. Y., Lei, W. T., Hsu, C. W., Chen, Y. W., Tseng, P. T., & Chen, C. H. (2019). Prevention of postdental procedure bacteremia: A network meta-analysis. Journal of Dental Research, 98(11), 1204–1210. https://doi.org/10.1177/0022034519870466.

Published

06/11/2023

How to Cite

MORAES, A. C. C. .; ALENCAR, A. C. G. .; CAMPOS , M. R. de O. . Infectious endocarditis x dental treatment: Literature review. Research, Society and Development, [S. l.], v. 12, n. 11, p. e140121143816, 2023. DOI: 10.33448/rsd-v12i11.43816. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43816. Acesso em: 23 dec. 2024.

Issue

Section

Health Sciences