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Table 5 Frequency and nature of post-operative complications depending on the oral care of patients on biologics or immunosuppressants

From: Management of dental care of patients on immunosuppressive drugs for chronic immune-related inflammatory diseases: a survey of French dentists’ practices

 

All practitioners

Specialized dentist activityc

General dentist activity

P-value

All practitioners

Specialized dentist activityc

General dentist activity

P-value

In patients under biologicsa

In patients under immunosuppressantsb

N = 104 (%)

N = 47 (%)

N = 57 (%)

 

N = 103 (%)

N = 47 (%)

N = 56 (%)

 

Postoperative complications occurring after dental invasive procedures

 No

91 (87.50)

37 (78.72)

54 (94.74)

 

84 (81.55)

33 (70.21)

51 (91.07)

 

 Yes

13 (12.50)

10 (21.28)

3 (5.26)

0.01

19 (18.45)

14 (29.79)

5 (8.93)

0.007

  Endodontic procedures

0 (0.00)

0 (0.00)

0 (0.00)

-

0 (0.00)

0 (0.00)

0 (0.00)

-

  Scaling and root planing

0 (0.00)

0 (0.00)

0 (0.00)

-

0 (0.00)

0 (0.00)

0 (0.00)

-

  Procedures requiring mucoperiosteal flap rising with bone cutting/curetting

5 (4.81)

5 (10.64)

0 (0.00)

0.01

6 (5.83)

5 (10.64)

1 (1.79)

0.05

  Soft-tissue surgery

1 (0.96)

1 (2.13)

0 (0.00)

0.26

0 (0.00)

0 (0.00)

0 (0.00)

-

  Dental extraction(s)

13 (12.50)

10 (21.28)

3 (5.26)

0.01

19 (18.45)

14 (29.79)

5 (8.93)

0.007

  Implant(s) placement

2 (1.92)

2 (4.26)

0 (0.00)

0.11

2 (1.94)

2 (4.26)

0 (0.00)

0.11

Type of postoperative complications after invasive dental procedures

 Abscesses

2 (1.92)

2 (4.26)

0 (0.00)

0.11

3 (2.91)

2 (4.26)

1 (1.79)

0.45

 Cellulitis

2 (1.92)

2 (4.26)

0 (0.00)

0.11

3 (2.91)

1 (2.13)

2 (3.57)

0.66

 Dry socket

10 (9.62)

7 (14.89)

3 (5.26)

0.09

12 (11.65)

10 (21.28)

2 (3.57)

0.005

 Osteitis

4 (3.85)

2 (4.26)

2 (3.51)

0.84

3 (2.91)

2 (4.26)

1 (1.79)

0.45

 Delayed mucosal healing

12 (11.54)

10 (21.28)

2 (3.51)

0.005

15 (14.56)

12 (25.53)

3 (5.36)

0.004

 Implant(s) osseointegration failure

0 (0.00)

0 (0.00)

0 (0.00)

-

1 (0.97)

1 (2.13)

0 (0.00)

0.27

 Jaw-bone osteonecrosis

5 (4.81)

4 (8.51)

1 (1.75)

0.10

1 (0.97)

1 (2.13)

0 (0.00)

0.27

  1. aOnly practitioners who responded that they are concerned about the care of patients taking biologics (n = 104) were included in this analysis
  2. bOnly practitioners who responded that they were concerned about the care of patients taking immunosuppressants (n = 103) were included in this analysis
  3. cSpecialized dentist activity: oral surgery, periodontology, endodontics, pediatric dentistry