Why the study?
Does dental treatment resolve pericardial effusion in patients with periodontitis?
Does dental treatment resolve pericardial effusion in patients with periodontitis?
Periodontal disease may be an underlying cause of infective pericarditis, and dental treatment can lead to complete resolution of the associated pericardial effusion.
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Supports hypothesis that periodontitis may underlie pericardial effusion; hypothesis-generating and requires prospective confirmation before clinical adoption.
species. He was healthy and had a small volume of pericardial effusion for the previous 5 years after drug-eluting coronary stents were inserted at the left anterior descending branch 10 years previously. The differential diagnoses listed for pericardial effusion were infection including tuberculosis, autoimmune diseases, and metastatic malignancy. Thoracic to pelvic computed tomographic scan demonstrated no mass lesions, except for pericardial effusion and a small volume of pleural effusion on the left side. Fluorodeoxyglucose positron emission tomography disclosed many spotty uptakes in the pericardial effusion. The patient denied pericardiocentesis, based on his evaluation of the risk of the procedure. He was thus discharged in several days and followed at outpatient clinic. He underwent dental treatment and pericardial effusion resolved completely in a month. He was healthy in 6 years until the last follow-up at the age of 92 years. We also reviewed 8 patients with pericarditis in association with periodontal diseases in the literature to reveal that periodontal diseases would be the background for developing infective pericarditis and also mediastinitis on some occasions.
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Matsuo et al. (2024) studied this question.
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