Assessing Dentists' Awareness and Strategies for Managing Patients with Heart Failure

Objective: Heart failure (HF) patients pose unique challenges for dental practitioners due to the complex medical conditions and medications associated with HF. This study aimed to assess the knowledge, clinical practices, confidence, and training needs of dentists in managing HF patients. Methods: A cross-sectional survey was conducted among 202 dentists. The survey explored demographic characteristics, knowledge of HF, clinical practices, confidence in managing HF-related emergencies, and interest in further training. Statistical analyses, including chi-square tests and independent samples t-tests, were used to identify associations between factors such as experience, training, and confidence levels. Results: Only 38.6% of respondents had formal training in handling medically compromised patients, while 65.3% were aware of HF-related oral health complications. The most commonly recognized HF symptoms were shortness of breath (81.7%) and swollen legs (73.3%). Anticoagulants (67.8%) and beta-blockers (55.4%) were identified as the most relevant medications affecting dental treatment. Although 63.9% of dentists always inquired about cardiovascular history, only 21.8% regularly consulted a cardiologist before treating HF patients. Confidence in managing HF emergencies was moderate, with 55.0% feeling somewhat confident and 26.7% not confident. Importantly, 79.7% of dentists expressed interest in HF training workshops. Statistical analyses revealed a significant association between dentists' years of experience and confidence in managing HF emergencies (p = 0.003), as well as a significant difference in confidence levels between those with formal training (M = 3.5, SD = 0.9) and those without (M = 2.8, SD = 1.1, p = 0.002). Conclusions: While dentists generally possess good awareness of HF symptoms and associated oral health risks, there are significant gaps in clinical management and confidence in handling HF-related emergencies. Further education and structured training programs are essential to improve dentists’ preparedness and ensure better care for HF patients. Enhanced interdisciplinary collaboration with cardiologists is also recommended to improve patient outcomes.