Comparison of Dental Findings with Computed Tomographic and Clinical Examination in Patients with End-Stage Heart Failure

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Sep 28

PMID 39336892

Authors

Cordula Leonie Merle

Julia Gocke

Patrick Seitz

Matthias Gutberlet

Diyar Saeed

Rainer Haak

Dirk Ziebolz

Robin Fabian Gohmann

Gerhard Schmalz

Affiliations

Soon will be listed here.

Abstract

: This study aimed to evaluate the diagnostic value of pre-existing computed tomography (CT) examinations for the detection of dental pathologies compared with clinical dental examination in patients with end-stage heart failure. : For this purpose, 59 patients with end-stage heart failure and pre-existing non-dental CT images of the craniofacial region were included. Virtual orthopantomograms (vOPG) were reconstructed. Dental pathologies were analyzed in vOPG and source-CT images. Imaging and clinical findings less than 6 months apart were compared ( = 24). : The subjective image quality of vOPG was more often rated as insufficient than CT (66%; 20%; < 0.01). Depending on examination (CT, vOPG or clinic), between 33% and 92% of the patients could require dental intervention such as treatment of caries and periodontitis or tooth extraction. vOPG led to a higher (80%) prevalence of teeth requiring treatment than CT (39%; < 0.01). The prevalence of teeth requiring treatment was similar in CT (29%) and clinic (29%; = 1.00) but higher in vOPG (63%; < 0.01). CT (stage 3 or 4: 42%) and vOPG (38%) underestimated the stage of periodontitis (clinic: 75%; < 0.01). : In conclusion, available CT images including the craniofacial region from patients with end-stage heart failure may contain valuable information regarding oral health status. The assessability of vOPGs might be insufficient and must be interpreted with caution.

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