General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 2, pp 197–202 | Cite as

Perioperative intervention by oral medicine team in cardiovascular surgery patients

  • Masaya AkashiEmail author
  • Nagisa Nanba
  • Junya Kusumoto
  • Takahide Komori
Current Topics Review Article


In brief, perioperative oral intervention consists of elimination of odontogenic foci and maintenance of oral hygiene in patients undergoing surgery. The importance of oral intervention before, during, and after medical treatments is well-known, especially in cancer patients, because odontogenic foci such as untreated deep dental caries or periodontitis can cause systemic infection in patients with myelosuppression resulting from chemotherapy. Although perioperative oral intervention is currently recommended for patients with cardiovascular disease, its efficacy in this population has not been established. This article consists of three sections: first, we review the current knowledge about the association between dental disease and cardiovascular disease to show the importance of oral hygiene maintenance and the risks of invasive dental procedures in patients with cardiovascular disease; second, we introduce pertinent, but limited evidence concerning the effect of oral care in preventing postoperative pneumonia; and finally, we present the optimal strategy for perioperative oral intervention in cardiovascular surgery patients.


Perioperative oral intervention Cardiovascular surgery Prophylactic dental extraction Postoperative pneumonia Infectious endocarditis 



We thank Rebecca Tollefson, DVM, from Edanz Group ( for editing a draft of this manuscript.

Compliance with ethical standards

Conflict of interest

The authors have no disclosures.


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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Masaya Akashi
    • 1
    Email author
  • Nagisa Nanba
    • 1
  • Junya Kusumoto
    • 1
  • Takahide Komori
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryKobe University Graduate School of MedicineKobeJapan

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