Oral–Systemic Health Interactions: Cardiovascular Risk Assessment In Patients Undergoing Prosthodontic Rehabilitation
Digital phenotyping, Artificial intelligence, Parental perception, Behavioural monitoring, Preventive and restorative dentistry
AuthorsABSTRACTCardiovascular disease represents a major systemic concern in prosthodontic practice, particularly among older and medically compromised patients who may experience physiological stress during dental rehabilitation. This study aimed to assess cardiovascular risk awareness among patients undergoing prosthodontic rehabilitation and to examine its influence on perceived procedural experience and restorative treatment planning modifications. A cross-sectional observational design was employed, and data were collected from 55 adults receiving prosthodontic care using a structured, selfadministered questionnaire comprising 30 Likert-scale items across four domains: health awareness, cardiovascular considerations, prosthodontic experience, and treatment planning adaptations. Descriptive statistics were used to summarize demographic characteristics and response patterns. Inferential analyses included Mann–Whitney U tests to compare procedural experience between cardiovascular-risk and non-risk groups, Chi-square tests to assess associations between cardiovascular risk and treatment planning modifications, and Spearman’s rank correlation to evaluate relationships between cardiovascular awareness and restorative planning. Results demonstrated high levels of cardiovascular and systemic health awareness among participants. Patients with cardiovascular risk reported significantly higher perceptions of clinical attentiveness, procedural adjustments, and treatment planning modifications (p < 0.01). Significant associations were observed between cardiovascular risk status and restorative planning adaptations (p < 0.05). A strong positive correlation was identified between cardiovascular awareness and perceived treatment planning modification (ρ = 0.69, p < 0.001). These findings underscore the importance of integrating structured cardiovascular assessment into prosthodontic rehabilitation to support patient-centred, risk-informed clinical decision-making and enhance perceived safety and confidence during care. Keywords: Prosthodontic Rehabilitation, Cardiovascular Risk, Restorative Treatment Planning, Medically Compromised Patients, Patient Perceptions 1. INTRODUCTION The association of oral health with cardiovascular status has been gaining growing scientific interest due to steady evidence of overlap of inflammatory mediators and overlapping risk factors. Oral conditions, especially those related to periodontal and periapical tissues, have been proven to contribute to systemic vascular health conditions and play a role in differences in the cardiovascular risk profile1. Multifactorial mechanisms of oral infections, chronic inflammation and endothelial dysfunction associated with cardiovascular disease continue to highlight the biomedical importance of the integration of dental and medical assessment frameworks2. Within this context, prosthodontic rehabilitation entails a prolonged time in the chair, several •••••••••••••••••••••••••••••••• ejprd.org - Published by Riset Publishing Services LLC
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