Dentist Role in Congestive Heart Failure Patient (Serial Cases)

摘要

Congestive Heart Failure (CHF) is a condition where the heart is unable to pump adequate blood to organs and tissues, due to one-part failure so that there is blood pooling in the heart. CHF patient needs more attention by dentist, because oral focus infection can affect patient's heart condition. Furthermore, CHF patient condition can cause various complications, so that dental treatment modification is needed. The objective of this paper is to describe the dentist's role as the medical team in CHF patient management. Two female patients, 25 and 59 years old, were hospitalized at RSCM Jakarta with CHF diagnosis, referred to the Oral Medicine clinic for oral cavity focus infection evaluation and management. Both patients were prepared for heart valve surgery. Clinical examination revealed the presence of oral cavity focus infection and cheilosis. In order to eliminate oral cavity focus infection, scaling and tooth extraction are needed, with patient's systemic condition consideration. Dentist has an important role in patient CHF management. A multidisciplinary approach is required to treat CHF patients to prevent complications and to improve treatment results.