Abstract
BackgroundThe careful preoperative oral assessment may be useful for safe surgery under general anesthesia. The purpose of this study was to investigate the presence of periodontitis in patients with malignant digestive disease before surgery under general anesthesia.MethodsPatients with digestive malignant disease who underwent periodontal examination and orthopantomograph examination for preoperative oral health assessment were participated. The authors investigated the patients’ general characteristics and clinical oral information, including the presence of periodontitis.ResultsOne hundred twenty patients participated in this study. The mean and standard deviation of the number of teeth was 20.8 ± 8.2, and there was a statistically significant correlation between age and number of teeth. The periodontal pocket depth was 3.0 ± 1.0, and mobile teeth were observed in 62 patients. There was a statistically significant correlation between number of teeth and number of mobile teeth. However, there was no significant difference between the age of patients without mobile teeth and the age of patients with mobile teeth.ConclusionsThis retrospective study performed in single-institution clarified the presence of periodontitis in patients with malignant digestive disease before surgery. Regardless of age, it is important to assess the oral health, including periodontitis, for safe surgery under general anesthesia.
Highlights
The careful preoperative oral assessment may be useful for safe surgery under general anesthesia
The most common organ of disease scheduled for surgery under general anesthesia was the colon (55 patients, 45.8%), the second was the stomach (31 patients, 25.8%), and the third was the pancreas (11 patients, 9.2%)
There was a statistically significant correlation between number of teeth and number of mobile teeth but no significant difference between the age of patients without mobile teeth and the age of patients with mobile teeth. These results suggested that age cannot be a predictor of the presence or absence of mobile teeth and that careful preoperative oral assessment is important for safe surgery under general anesthesia with endotracheal intubation, regardless of age
Summary
The careful preoperative oral assessment may be useful for safe surgery under general anesthesia. The purpose of this study was to investigate the presence of periodontitis in patients with malignant digestive disease before surgery under general anesthesia. Infectious complications, such as ventilator-associated pneumonia (VAP) and surgical site infection (SSI), occur in hospitalized patients and lead to serious conditions [1,2,3]. They could cause social and economic disadvantages, including subsequent complications. Some recent literature has shown interesting information about the association between oral microbiota and malignant digestive diseases [7, 8]
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