Assessment and management of oral health in liver transplant candidates

AUTOR(ES)

Santos, Paulo Sérgio da Silva, Fernandes, Karin Sá, Gallottini, Marina H. C.

FONTE

Journal of Applied Oral Science

DATA DE PUBLICAÇÃO

2012-04

RESUMO

Liver transplantation has become a standard treatment for end-stage liver disease and the number of recipients has grown rapidly in the last few years. Dental care during pre-transplant workup is important to reduce potential sources of infection in the drug-induced immunosuppression phase of liver transplantation. Objectives: The objectives of this study were to document the prevalence of oral abnormalities in patients on a liver transplant waiting list presenting to an urban dental school clinic, discuss the appropriate dental treatment according their systemic conditions and compare their oral manifestations with those of healthy individuals. Material and Methods: A pilot study was conducted involving 16 end-stage liver disease individuals (study group- SG) attending the Special Care Dentistry Center of the University of São Paulo and 16 control individuals (control group- CG) with no liver diseases, receiving dental care at the Dental School of the University of São Paulo. These individuals were assessed for their dental status (presence of oral disease or abnormalities), coagulation status, and dental treatment indications. Results: The patients from SG exhibited a greater incidence of oral manifestations compared with CG (p=0.0327) and were diagnosed with at least one oral disease or condition that required treatment. Coagulation abnormalities reflecting an increased risk of bleeding were found in 93.75% of the patients. However, no bleeding complications occurred after dental treatment. Conclusions: The patients with chronic liver diseases evaluated in this study exhibited a higher incidence of oral manifestations compared with the control group and had at least one oral disease or abnormality which required dental treatment prior to liver transplantation. Careful oral examination and evaluation of the patient, including laboratory tests, will ensure correct oral preparation and control of oral disease prior to liver transplantation.

Documentos Relacionados

• Correlation between nutritional assessment and oxidative stress in candidates for liver transplant
• The oral health in renal transplant candidates
• Valganciclovir Results in Improved Oral Absorption of Ganciclovir in Liver Transplant Recipients
• Helicobacter pylori eradication in renal transplant candidates
• Nutritional status and economic status in liver transplant candidates