employee from 01.01.2015 to 01.01.2026
Russian Federation
UDC 616.31
CSCSTI 76.29
The excellent results of dental implantation have led to the widespread use of this method in the treatment of edentulous patients, including those with heart disease. The objective of this study was to determine trends in dental indices in relation to the progression and severity of chronic heart failure in patients. The aim of the study was to examine changes in dental indices in patients with different functional classes of chronic heart failure during the postoperative period of dental implantation. Methodology. The study examined the dynamics of dental indices during the postoperative period of dental implantation in 215 edentulous patients with a history of chronic heart failure. Study results. The values of poor oral hygiene in patients with CHF FC I varied from 2.1 ±0.3 in 31 % of patients to 2.2 ±0.3 in 22.4 % of cases. In the CHF FC II subgroup, the indicator varied from 2.0 ±0.2 in 23.8 % of cases to 2.0 ±0.18 in 22 % of cases. In the CHF FC III subgroup, values ranged from 2.14 ±0.23 in 39.1 % of patients to 2.1 ±0.31 in 28.2 % of cases at one month of follow-up, and the highest values for poor oral hygiene were observed in the CHF FC III subgroup. Severe periodontal disease was detected in patients with CHF FC III in 26.1 % of cases, increasing to 28.2 % of cases by the month of observation. In the CHF FC I subgroup, the indicator occurred in 3.3 % of cases, unchanged by the month, compared to 7.3 % of cases in the CHF FC II subgroup. Conclusions. Due to the onset of organic disorders, patients with CHF III FC exhibit a poor compliance, resulting in poor oral hygiene and an increased risk of complications.
dental status, dental implantation, chronic heart failure, oral hygiene, periodontal index
1. Keycler M.I., Slazhneva E.S., Ostrovskaya I.G., Atrushkevich V.G. Rol' vzaimodeystviya mikrobioty i epitelial'nogo bar'era v patogeneze vospalitel'nyh zabolevaniy parodonta: sistematicheskiy obzor. Parodontologiya. 2024;29(4):366-377. [Keitsler M.I., Slazhneva E.S., Ostrovskaya I.G., Atrushkevich V.G. The role of microbiota and epithelial barrier interaction in the pathogenesis of periodontal diseases: a systematic review. Parodontologiya. 2024;29(4):366-377. (In Russ.)]. https://doi.org/10.33925/1683-3759-2024-1013
2. Remizova A.A. Specializirovannaya stomatologicheskaya pomosch' bol'nym metabolicheskim sindromom, associirovannym s osteopatiyami: dissertaciya na soiskanie uchenoy stepeni doktora medicinskih nauk. Moskva; 2017. 204 s. [Remizova A.A. Specialized dental care for patients with metabolic syndrome associated with osteopathies: dissertation for the degree of Doctor of Medical Sciences. Moscow; 2017. 204 p. (In Russ.)]. https://rusneb.ru/catalog/000199_000009_005103190/
3. Triandafilov S.A., Anasov A.A., Ovcharenko E.S., Lapina N.V., Triandafilova S.S. Sposob zamescheniya molyara nizhney chelyusti dvumya dental'nymi implantatami malogo diametra (klinicheskiy sluchay). Klinicheskaya stomatologiya. 2025;28(2):142-147. [Triandafilov S.A., Anasov A.A., Ovcharenko E.S., Lapina N.V., Triandafilova S.S. Method for replacing lower molar with two small diameter dental implants (clinic case report). Clinical Dentistry (Russia). 2025;28(2):142-147. (In Russ.)]. https://doi.org/10.37988/1811-153X_2025_2_142
4. Altamura S., Del Pinto R., Pietropaoli D., Ferri C. Oral health as a modifiable risk factor for cardiovascular diseases. Trends in cardiovascular medicine. 2024;34(4):267-275. https://doi.org/10.1016/j.tcm.2023.03.003
5. Ball J., Darby I. Mental health and periodontal and peri-implant diseases. Periodontology 2000. 2022;90(1):106-124. https://doi.org/10.1111/prd.12452
6. Bhuyan R., Bhuyan S.K., Mohanty J.N., Das S., Juliana N., Juliana I.F. Periodontitis and Its Inflammatory Changes Linked to Various Systemic Diseases: A Review of Its Underlying Mechanisms. Biomedicines. 2022;10(10):2659. https://doi.org/10.3390/biomedicines10102659
7. Jain N., Dutt U., Radenkov I., Jain S. WHO’s global oral health status report 2022: actions, discussion and implementation. Oral diseases. 2024;30(2):73-79. https://doi.org/10.1111/odi.14516
8. Loos B.G., Van Dyke T.E. The role of inflammation and genetics in periodontal disease. Periodontology 2000. 2020;83(1):26-39. https://doi.org/10.1111/prd.12297
9. Molinsky R.L., Yuzefpolskaya M., Norby F.L., Yu.B., Shah A.M., Pankow J.S. et al. Periodontal Status, C-Reactive Protein, NT-proBNP, and Incident Heart Failure: The ARIC Study. JACC: Heart Failure. 2022;10(10):731-741. https://doi.org/10.1016/j.jchf.2022.05.008
10. Priyamvara A., Dey A.K., Bandyopadhyay D., Katikineni V., Zaghlol R., Basyal B. et al. Periodontal Inflammation and the Risk of Cardiovascular Disease. Current Atherosclerosis Reports. 2020;22(7):28. https://doi.org/10.1007/s11883-020-00848-6
11. Scarano A., Khater A.G.A., Gehrke S.A., Serra P., Francesco I., Di Carmine M. et al. Current Status of Peri-Implant Diseases: A Clinical Review for Evidence-Based Decision Making. Journal of functional biomaterials. 2023;14(4):210. https://doi.org/10.3390/jfb14040210
12. Sedghi L., DiMassa V., Harrington A., Lynch S.V., Kapila Y.L. The oral microbiome: Role of key organisms and complex networks in oral health and disease. Periodontology 2000. 2021;87(1):107-131. https://doi.org/10.1111/prd.12393
13. Wagner J., Spille J. H., Wiltfang J., Naujokat H. Systematic review on diabetes mellitus and dental implants: an update. International journal of implant dentistry. 2022;8(1):1. https://doi.org/10.1186/s40729-021-00399-8
14. Walther C., Wenzel J. P., Schnabel R. B., Heydecke G., Seedorf U., Beikler T. et al. Association between periodontitis and heart failure in the general population. ESC heart failure. 2022;9(6):4189-4197. https://doi.org/10.1002/ehf2.14150
15. Yan Y., Mao M., Li Y.-Q., Chen Y.-J., Yu H.-D., Xie W.-Z. et al. Periodontitis Is Associated With Heart Failure: A Population-Based Study (NHANES III). Frontiers in Physiology. 2022:13:854606. https://doi.org/10.3389/fphys.2022.854606
