Risk of Infective Endocarditis Following Invasive Dental Procedures: A Systematic Review and Meta-Analysis.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH PUBLIC HEALTH REVIEWS Pub Date : 2025-01-08 eCollection Date: 2024-01-01 DOI:10.3389/phrs.2024.1607684

Zhumakyz Kussainova, Mukhit Kulmaganbetov, Askar Abiltayev, Tolkyn Bulegenov, Islam Salikhanov

{"title":"Risk of Infective Endocarditis Following Invasive Dental Procedures: A Systematic Review and Meta-Analysis.","authors":"Zhumakyz Kussainova, Mukhit Kulmaganbetov, Askar Abiltayev, Tolkyn Bulegenov, Islam Salikhanov","doi":"10.3389/phrs.2024.1607684","DOIUrl":null,"url":null,"abstract":"Objectives: This systematic review and meta-analysis aimed to synthesize evidence and determine the association between IE and dental procedures, including invasive and non-invasive procedures.Methods: We conducted a systematic search of PubMed, Google Scholar, and Cochrane databases for studies involving procedures such as tooth extraction, scaling, endodontic treatment, oral surgery, and periodontal treatment involving individuals aged ≥15 years. The primary outcome was the incidence of IE following these procedures.Results: An association was found between IE and invasive dental procedures (OR 1.49, 95% CI 1.25-1.76; p < 0.00001). Subgroup analysis showed an increased risk of IE following tooth extraction (OR 2.73, 95% CI 1.46-5.11; p = 0.002) and oral surgery (OR 6.33, 95% CI 2.43-16.49; p = 0.0002) in high-risk patients.Conclusion: Our study found a strong association between invasive dental procedures and increased IE risk, particularly for tooth extraction and oral surgery in high-risk individuals.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023488546, Identifier CRD42023488546.","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"45 ","pages":"1607684"},"PeriodicalIF":3.5000,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750435/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"PUBLIC HEALTH REVIEWS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/phrs.2024.1607684","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This systematic review and meta-analysis aimed to synthesize evidence and determine the association between IE and dental procedures, including invasive and non-invasive procedures.

Methods: We conducted a systematic search of PubMed, Google Scholar, and Cochrane databases for studies involving procedures such as tooth extraction, scaling, endodontic treatment, oral surgery, and periodontal treatment involving individuals aged ≥15 years. The primary outcome was the incidence of IE following these procedures.

Results: An association was found between IE and invasive dental procedures (OR 1.49, 95% CI 1.25-1.76; p < 0.00001). Subgroup analysis showed an increased risk of IE following tooth extraction (OR 2.73, 95% CI 1.46-5.11; p = 0.002) and oral surgery (OR 6.33, 95% CI 2.43-16.49; p = 0.0002) in high-risk patients.

Conclusion: Our study found a strong association between invasive dental procedures and increased IE risk, particularly for tooth extraction and oral surgery in high-risk individuals.

Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023488546, Identifier CRD42023488546.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

侵入性牙科手术后感染性心内膜炎的风险：一项系统回顾和荟萃分析。

目的：本系统综述和荟萃分析旨在综合证据并确定IE与牙科手术（包括侵入性和非侵入性手术）之间的关系。方法：我们对PubMed、谷歌Scholar和Cochrane数据库进行了系统检索，涉及年龄≥15岁的个体的拔牙、洗牙、牙髓治疗、口腔手术和牙周治疗等过程的研究。主要结果是这些手术后IE的发生率。结果：IE与侵入性牙科手术之间存在关联(OR 1.49, 95% CI 1.25-1.76；P < 0.00001)。亚组分析显示拔牙后IE风险增加(OR 2.73, 95% CI 1.46-5.11；p = 0.002)和口腔手术(OR 6.33, 95% CI 2.43-16.49；P = 0.0002)。结论：我们的研究发现，侵入性牙科手术与IE风险增加之间存在很强的关联，特别是在高危人群中拔牙和口腔手术。系统评价注册：https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023488546，标识符CRD42023488546。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊