{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:33:59Z","timestamp":1747182839394,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:00:00Z","timestamp":1612483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Limited evidence is available regarding dentists\u2019 knowledge and interpretation of infective endocarditis (IE) prophylaxis guidelines. The aim of this study was to determine understanding and management of rheumatic and non\u2010rheumatic valvular heart disease (VHD) in the dental setting in Western Australia (WA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey of dentists within Perth utilized an online Qualtrics questionnaire developed after consultation with stakeholders. A sampling frame was compiled from the Australian Health Practitioner Regulation Agency with contact details obtained from the White Pages (online), using five quintiles of Socio\u2010Economic Indexes for Areas according to dentist\u2019s place of practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 41 (13.7% of 300 approached) dentists completing the survey (95.1% general dentists, mean years of practice\u00a0=\u00a015.6), 90.2% reported following the Australian Therapeutic Guidelines (ATG) regarding IE antibiotic prophylaxis in VHD. Most (92.7%) were unaware of the rheumatic heart disease (RHD) control program. Nearly all participants indicated prophylaxis for clearly invasive procedures such as tooth extraction (100.0%) and periodontal surgery (95.1%). Many dentists made the decision to prescribe antibiotics themselves (36.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of dentists followed the ATG\u2019s IE prophylaxis recommendations for cardiac lesions and dental procedures. There was limited knowledge of the national RHD guidelines and the WA RHD control program.<\/jats:p><\/jats:sec>","DOI":"10.1111\/adj.12821","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T21:32:41Z","timestamp":1610746361000},"page":"254-261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding valvular heart disease in the dental setting"],"prefix":"10.1111","volume":"66","author":[{"given":"T","family":"Truong","sequence":"first","affiliation":[{"name":"UWA Dental School The University of Western Australia Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6099-6194","authenticated-orcid":false,"given":"Y","family":"Koh","sequence":"additional","affiliation":[{"name":"UWA Dental School The University of Western Australia Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Yosufi","sequence":"additional","affiliation":[{"name":"UWA Dental School The University of Western Australia Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Marangou","sequence":"additional","affiliation":[{"name":"Department of Cardiology Fiona Stanley Hospital South Metropolitan Health Service Murdoch WA Australia"},{"name":"Department of Health Western Australia Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5859-7055","authenticated-orcid":false,"given":"L","family":"Slack\u2010Smith","sequence":"additional","affiliation":[{"name":"UWA Dental School The University of Western Australia Perth WA Australia"},{"name":"School of Population and Global Health The University of Western Australia Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5287-5819","authenticated-orcid":false,"given":"JM","family":"Katzenellenbogen","sequence":"additional","affiliation":[{"name":"School of Population and Global Health The University of Western Australia Perth WA Australia"},{"name":"Telethon Kids Institute Perth WA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"volume-title":"Braunwald\u2019s heart disease: a textbook of cardiovascular medicine","year":"2018","author":"Zipes DP","key":"e_1_2_8_2_1"},{"key":"e_1_2_8_3_1","unstructured":"Mayo Clinic.Aortic valve stenosis Mayo Clinic[Internet]. 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Available at:https:\/\/www.heartfoundation.org.nz\/your\u2010heart\/heart\u2010conditions\/infective\u2010endocarditis. Accessed 14 February 2018."},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2008.00049.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2005.tb00388.x"},{"key":"e_1_2_8_28_1","unstructured":"City of Perth CoPCPcJAf.SEIFA by Local Government Area[Internet].2018. Available at:https:\/\/profile.id.com.au\/perth\/seifa\u2010disadvantage?SeifaKey=40004. Accessed 17 July 2018."},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2015.03.021"},{"key":"e_1_2_8_30_1","unstructured":"Antibiotic Expert Group.Therapeutic guidelines: antibiotics; cardiovascular system infections empirical therapy for infective endocarditis.2019. Available at:https:\/\/tgldcdp.tg.org.au\/guideLine?guidelinePage=Antibiotic&frompage=etgcomplete. 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