Um Cardiological, dental profile and quality of life related to oral health of patients with history of rheumatic fever

Mariana Oliveira Besseler; Guilherme Sobreira Spina; Rinaldo Focaccia Siciliano; Itamara Lucia Itagiba Neves; Ricardo Simões Neves; Flavio  Tarasoutchi; Pablo Agustin Vargas; Alan Roger  Santos-Silva; Tânia Cristina Pedroso Montano

doi:10.5327/2525-5711.379

Authors

Mariana Oliveira Besseler University of Campinas, Piracicaba Dental School, Oral Diagnosis Department – Piracicaba (SP) , Brazil. https://orcid.org/0009-0001-3500-5325
Guilherme Sobreira Spina University of São Paulo, Instituto do Coração, Hospital das Clínicas, Medical School, Valvular Heart Disease Unit – São Paulo (SP), Brazil. https://orcid.org/0000-0002-8876-0180
Rinaldo Focaccia Siciliano University of São Paulo, Instituto do Coração, Hospital das Clínicas, Medical School, Dental Unit – São Paulo (SP), Brazil. https://orcid.org/0000-0002-5413-7091
Itamara Lucia Itagiba Neves University of São Paulo, Instituto do Coração, Hospital das Clínicas, Medical School, Dental Unit – São Paulo (SP), Brazil. https://orcid.org/0000-0003-3671-7284
Ricardo Simões Neves University of São Paulo, Instituto do Coração, Hospital das Clínicas, Medical School, Dental Unit – São Paulo (SP), Brazil. https://orcid.org/0000-0002-2667-5343
Flavio Tarasoutchi University of São Paulo, Instituto do Coração, Hospital das Clínicas, Medical School, Valvular Heart Disease Unit – São Paulo (SP), Brazil. https://orcid.org/0000-0002-9964-3289
Pablo Agustin Vargas University of Campinas, Piracicaba Dental School, Oral Diagnosis Department – Piracicaba (SP) , Brazil. https://orcid.org/0000-0003-1840-4911
Alan Roger Santos-Silva University of Campinas, Piracicaba Dental School, Oral Diagnosis Department – Piracicaba (SP) , Brazil. https://orcid.org/0000-0003-2040-6617
Tânia Cristina Pedroso Montano University of Campinas, Piracicaba Dental School, Oral Diagnosis Department – Piracicaba (SP) , Brazil. https://orcid.org/0000-0002-8303-9431

DOI:

https://doi.org/10.5327/2525-5711.379

Keywords:

Rheumatic fever, Rheumatic heart disease, Oral health, Oral health-related quality of life

Abstract

Objective: This study aimed to characterize the cardiological and dental profiles of patients with rheumatic fever (RF) and assess the impact on their oral health-related quality of life (OHRQoL). Methods: A cross-sectional study was conducted from March to December 2023. Clinical analysis included the DMFT index and OHI-S, along with medical record review, economic stratification (Brazilian Association of Research Companies questionnaire), panoramic radiographs, and OHRQoL assessment (OHIP-14). Participants were patients followed at the Rheumatic Fever League, Heart Institute, University of São Paulo Medical School. Results: The study included 83 predominantly female patients (90.4%), with a mean age of 47 years. Most were Afro-Brazilian (61.4%) and from lower-middle economic classes with limited education. Rheumatic heart disease (RHD) was present in 97.5%, mainly affecting the mitral valve. Infective endocarditis was observed in 6%. The mean DMFT was 19.6, with an average of nine missing teeth. The OHI-S was satisfactory in 50%. Among 52 radiographed patients, 55.7% had dental caries, 78.8% had periapical lesions, and 76.8% were at moderate to high risk of periodontal disease. Despite poor oral health indicators, OHRQoL scores showed minimal impact. Conclusion: Despite significant oral health issues, these did not substantially impact the OHRQoL of the studied population.

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