Dental health status of liver transplant candidates

Guggenheimer, James; Eghtesad, Bijan; Close, John M.; Shay, C; Fung, John J.

doi:10.1002/lt.21038

Cited by 87 publications

(173 citation statements)

References 28 publications

Supporting

Mentioning

147

Contrasting

Unclassified

Order By: Relevance

“…Untreated oral diseases (including dental problems) can lead to infections and sepsis and may cause many complications in transplanted patients (2,4).…”

Section: Introductionmentioning

confidence: 99%

Oral Health in Patients With Liver Diseases

Panov¹,

Krasteva²

2011

JofIMAB

View full text Add to dashboard Cite

In most of the patients with chronic hepatitis B and C, the disease progression to liver cirrhosis and a liver transplantation is necessary. Untreated oral diseases (including dental problems) can lead to infections and sepsis and may cause many complications in transplanted patients and a prerequisite dental evaluation is usually recommended for potential organ transplant candidates.Our aim was to determine the dental status in patients with chronic liver disease, knowing that liver transplant will be a life choices

show abstract

“…Untreated oral diseases (including dental problems) can lead to infections and sepsis and may cause many complications in transplanted patients (2,4).…”

Section: Introductionmentioning

confidence: 99%

Oral Health in Patients With Liver Diseases

Panov¹,

Krasteva²

2011

JofIMAB

View full text Add to dashboard Cite

show abstract

“…It is believed that the cause of a significant reduction in salivary flow is post-steroid vascular fibrosis, which impairs the blood supply to the salivary glands and causes increasing loss of their proper function. 22 …”

Section: Gingival Overgrowthmentioning

confidence: 99%

The algorithm of dental treatment in patients before and after organ transplantation

Szubińska-Lelonkiewicz¹,

Golecka-Bąkowska²,

Osiak³

2017

Dent. Med. Probl.

View full text Add to dashboard Cite

The vascularized organs transplantation has become an effective method of treating patients with end-stage organ failure. However, prolonged immunosuppressive therapy causes many side effects, which are reflected in the state of the oral cavity. Infections in transplant recipients represent the most common postoperative complication. The development of infection is dependent on pathogenic microorganisms as bacteria, fungi and viruses, including CMV, EBV, HPV, HIV. To reduce the potential for serious problems in the oral cavity occurring after organ transplantation, each patient should be subjected to a thorough dental inspection and treated by physicians in specialized medical centers. The role of a dentist should involve the evaluation before and after transplantation according to specialized algorithm of dental treatment. The information concerning the presence of infection outbreaks and pathologic lesions in the oral cavity is an important signal for transplant physician to perform extended diagnostic testing, as well as to modify the immunosuppressive therapy.

show abstract

“…Relevant risk factors for plaque-related gingivitis and caries included intervals of more than 1 year since the last dental examination, smoking, and diuretic therapy. These aspects are related to inadequate oral hygiene and reduced salivary flow [26].…”

Section: Doi: 107243/2053-6623-2-2mentioning

confidence: 99%

“…The attention to oral complications in liver transplant candidates is justified by several reasons: cirrhotic patients generally use multi-drug therapy which can reduce salivary flow and contribute to periodontal disease, caries, candidiasis and other oral lesions [48]; the main cause of liver disease in Brazil and in many part of the world is cirrhosis due to Hepatitic C Virus (HCV) infection followed by Alcoholic liver disease (ALD) which are associated with reduced salivary flow and untreated dental conditions or personal behaviors that are risk factors for dental diseases [4,26,27,49]; oral infection may decompensate cirrhosis and may contribute to the development of PH complications such as hepatic encephalopathy and hepatorenal syndrome; if preventive actions for oral health are not effective, the treatment of oral foci generally requires hospitalization and transoperative blood requirements [4,25]; studies has demonstrated the relationship between oral health and systemic health [4,[6][7][8][9][10][11][12][13] and the economic impact of oral complications is too high in cirrhotic patients [4,47].…”

Section: Oral Diagnosis and Treatment Protocol In Chronic Liver Diseasementioning

confidence: 99%

Oral health protocol for liver transplant patients

Lins¹,

Bastos²

2014

Transplant Technol

View full text Add to dashboard Cite

Chronic liver disease and cirrhosis were the ninth leading cause of death in Brazil in 2011. Infectious complications are major factors for morbidity and mortality in liver transplant recipients. Oral infection is a cause of systemic infection for both liver transplant candidates and recipients. Liver transplant patients are at high risk of oral infection and preventive measures are mandatory. Oral treatment is feasible to the majority of patients awaiting liver transplantation. However, protocols for oral lesions management in liver transplant patients are not established in literature yet. The aim of the present study is to describe an oral health protocol for liver transplant patients based in our 12 years of experience in diagnosing and treating oral disease in the Liver Transplantation Clinic, Federal University of Bahia, Brazil. This protocol was developed by a multidisciplinary team of transplant surgeons, hepatologists, transplant nurses and dentists. All patients are evaluated by the hepatology team that assess liver disease severity and refer them to oral care. The oral assessment is carefully carried out. Additional complementary examinations are necessary to conclude diagnosis and proceed to an individual treatment plan. When oral surgery is necessary, coagulation factors, liver disease severity and the extent of surgical procedure are evaluated for each patient.

show abstract

Dental health status of liver transplant candidates

Cited by 87 publications

References 28 publications

Oral Health in Patients With Liver Diseases

Oral Health in Patients With Liver Diseases

The algorithm of dental treatment in patients before and after organ transplantation

Oral health protocol for liver transplant patients

Contact Info

Product

Resources

About