Maciej R. Czerniuk

Young patient with arterial stenosis: follow-up, medical treatment, and time for dental implant?

Maciej R. Czerniuk, Tomasz Pilecki, Beata Wożakowska-Kapłon , Krzysztof J. Filipiak, Renata Górska 1Zakład Chorób Błony Śluzowej i Przyzębia, Warszawski Uniwersytet Medyczny, Warszawa 2Klinika Immunologii, Transplantologii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa 3I Kliniczny Oddział Kardiologii, Świętokrzyskie Centrum Kardiologii, Kielce 4Wydział Nauk o Zdrowiu, Uniwersytet Jana Kochanowskiego, Kielce 5I Katedra i Klinika Kardiologii, Warszawski Uniwersytet Medyczny, Warszawa

Oral cavity infections: why should cardiologists care about them?

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Evaluation of the prevalence of periodontal disease as a non-classical risk factor in the group of patients undergoing hip and/or knee arthroplasty

BACKGROUND Periodontal disease is a chronic disease causing an inflammatory process that affects various organs and is as-sociated with an increased risk of many diseases, including bone and cardiovascular disease. AIM The aim of this study was to establish the prevalence of periodontal disease in continuous patients scheduled for hip or knee replacement surgery. METHODS The study was a prospective, epidemiological analysis performed in consecutive patients scheduled for total joint (hip or knee) replacement surgery. Patients enrolled into the study were screened for classical risk factors and had a dental evaluation performed for the diagnosis of periodontal disease. RESULTS The study population consisted of 228 patients. A total of 137 (60.1%) patients were scheduled for a hip replace-ment surgery, while 91 (39.9%) had a knee replacement. The mean age of the study population was 66.8 ± 12.2 years, and 83 (36.4%) patients were male. A clinically significant disease was present in 65 (28.5%) cases, while all (100%) of the patients had at least minimal signs of periodontal disease. In patients with periodontal disease the percentage of tartar involvement of the teeth was 33.1 ± 26.8%, mean dental plaque coverage was 48.1 ± 29.8%, and bleeding occurred at a rate of 35.4 ± 29%. As for the hygiene level, it was generally poor in the majority of patients with periodontal disease. No differences in terms of baseline risk factors were present between patients with and without periodontal disease. CONCLUSIONS In conclusion, periodontal diseases are highly prevalent in patients undergoing hip and/or knee replacement surgery. The presence of the periodontal disease is possibly associated with a worse prognosis and should be treated.

Patient with cardiovascular comorbidities ??? which age is the time for dental implants?

1Zaklad Chorob Blony Śluzowej i Przyzebia, Warszawski Uniwersytet Medyczny, Warszawa 2Klinika Chorob Wewnetrznych i Kardiologii z Centrum Diagnostyki i Leczenia Żylnej Choroby Zakrzepowo-Zatorowej, Warszawski Uniwersytet Medyczny, Warszawa 3I Klinka Kardiologii i Elektroterapii, Świetokrzyskie Centrum Kardiologii, Kielce 4Wydzial Nauk o Zdrowiu, Uniwersytet Jana Kochanowskiego, Kielce 5I Katedra i Klinika Kardiologii, Warszawski Uniwersytet Medyczny, Warszawa

[Octogenarian with cardiovascular history: is it contraindication for dental implants?].

Maciej R. Czerniuk, Tomasz Pilecki, Krzysztof J. Filipiak, Beata Wożakowska-Kapłon , Renata Górska 1Zakład Chorób Błony Śluzowej i Przyzębia, Warszawski Uniwersytet Medyczny, Warszawa 2Klinika Immunologii, Transplantologii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa 3I Katedra i Klinika Kardiologii, Warszawski Uniwersytet Medyczny, Warszawa 4I Kliniczny Oddział Kardiologii, Świętokrzyskie Centrum Kardiologii, Kielce 5Wydział Nauk o Zdrowiu, Uniwersytet Jana Kochanowskiego, Kielce

Simple platelet markers: Mean platelet volume and congestive heart failure coexistent with periodontal disease. Pilot studies

BACKGROUND Conducted pilot study concerning mean platelet volume parameter among patients suffering from congestive heart failure and periodontal disease. METHODS Examination of dynamic changes of platelet and periodontal markers in group of 50 patients before and an average of 6 months subsequent to professional periodontal treatment. RESULTS Both platelet and periodontal parameters decreased after periodontal treatment, what is more, the decrease of mean platelet volume (MPV) value due to periodontal disease/mm improvement was shown to be statistically significant (p = 0.05). CONCLUSIONS Improvement of periodontal status may influence decrease of MPV value andincrease of congestive heart failure treatment efficacy and effect patient comfort. It is a new, not frequently used pattern of chronic disease treatment optimalization.