Assessment and management of oral health in liver transplant candidates
Identifieur interne : 000607 ( Pmc/Curation ); précédent : 000606; suivant : 000608Assessment and management of oral health in liver transplant candidates
Auteurs : Paulo Sérgio Da Silva Santos [Brésil] ; Karin Sá Fernandes [Brésil] ; Marina H. C. Gallottini [Brésil]Source :
- Journal of Applied Oral Science [ 1678-7757 ] ; 2012.
Abstract
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.
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.
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.
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.
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.
Url:
DOI: 10.1590/S1678-77572012000200020
PubMed: 22666844
PubMed Central: 3894770
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessment and management of oral health in liver transplant
candidates</title><author><name sortKey="Da Silva Santos, Paulo Sergio" sort="Da Silva Santos, Paulo Sergio" uniqKey="Da Silva Santos P" first="Paulo Sérgio" last="Da Silva Santos">Paulo Sérgio Da Silva Santos</name><affiliation wicri:level="1"><nlm:aff id="aff01"> PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea></affiliation></author><author><name sortKey="Fernandes, Karin Sa" sort="Fernandes, Karin Sa" uniqKey="Fernandes K" first="Karin Sá" last="Fernandes">Karin Sá Fernandes</name><affiliation wicri:level="1"><nlm:aff id="aff02"> MD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> MD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP</wicri:regionArea></affiliation></author><author><name sortKey="Gallottini, Marina H C" sort="Gallottini, Marina H C" uniqKey="Gallottini M" first="Marina H. C." last="Gallottini">Marina H. C. Gallottini</name><affiliation wicri:level="1"><nlm:aff id="aff03"> PhD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> PhD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22666844</idno><idno type="pmc">3894770</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894770</idno><idno type="RBID">PMC:3894770</idno><idno type="doi">10.1590/S1678-77572012000200020</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000607</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000607</idno><idno type="wicri:Area/Pmc/Curation">000607</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000607</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Assessment and management of oral health in liver transplant
candidates</title><author><name sortKey="Da Silva Santos, Paulo Sergio" sort="Da Silva Santos, Paulo Sergio" uniqKey="Da Silva Santos P" first="Paulo Sérgio" last="Da Silva Santos">Paulo Sérgio Da Silva Santos</name><affiliation wicri:level="1"><nlm:aff id="aff01"> PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP</wicri:regionArea></affiliation></author><author><name sortKey="Fernandes, Karin Sa" sort="Fernandes, Karin Sa" uniqKey="Fernandes K" first="Karin Sá" last="Fernandes">Karin Sá Fernandes</name><affiliation wicri:level="1"><nlm:aff id="aff02"> MD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> MD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP</wicri:regionArea></affiliation></author><author><name sortKey="Gallottini, Marina H C" sort="Gallottini, Marina H C" uniqKey="Gallottini M" first="Marina H. C." last="Gallottini">Marina H. C. Gallottini</name><affiliation wicri:level="1"><nlm:aff id="aff03"> PhD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> PhD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Applied Oral Science</title><idno type="ISSN">1678-7757</idno><idno type="eISSN">1678-7765</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p><sec><title>Objectives</title><p> 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. </p></sec><sec><title>Material and Methods</title><p> 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. </p></sec><sec><title>Results</title><p> 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. </p></sec><sec><title>Conclusions</title><p> 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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dente, K" uniqKey="Dente K">K Dente</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Douglas, Lr" uniqKey="Douglas L">LR Douglas</name></author><author><name sortKey="Douglass, Jb" uniqKey="Douglass J">JB Douglass</name></author><author><name sortKey="Sieck, Jo" uniqKey="Sieck J">JO Sieck</name></author><author><name sortKey="Smith, Pj" uniqKey="Smith P">PJ Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guggenheimer, J" uniqKey="Guggenheimer J">J Guggenheimer</name></author><author><name sortKey="Eghtesad, B" uniqKey="Eghtesad B">B Eghtesad</name></author><author><name sortKey="Close, Jm" uniqKey="Close J">JM Close</name></author><author><name sortKey="Shay, C" uniqKey="Shay C">C Shay</name></author><author><name sortKey="Fung, Jj" uniqKey="Fung J">JJ Fung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guggenheimer, J" uniqKey="Guggenheimer J">J Guggenheimer</name></author><author><name sortKey="Mayher, D" uniqKey="Mayher D">D Mayher</name></author><author><name sortKey="Eghtesad, B" uniqKey="Eghtesad B">B Eghtesad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gupta, A" uniqKey="Gupta A">A Gupta</name></author><author><name sortKey="Epstein, Jb" uniqKey="Epstein J">JB Epstein</name></author><author><name sortKey="Cabay, Rj" uniqKey="Cabay R">RJ Cabay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lockhart, Pb" uniqKey="Lockhart P">PB Lockhart</name></author><author><name sortKey="Gibson, J" uniqKey="Gibson J">J Gibson</name></author><author><name sortKey="Pond, Sh" uniqKey="Pond S">SH Pond</name></author><author><name sortKey="Leitch, J" uniqKey="Leitch J">J Leitch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rada, Re" uniqKey="Rada R">RE Rada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramstrom, G" uniqKey="Ramstrom G">G Ramström</name></author><author><name sortKey="Sindet Pedersen, S" uniqKey="Sindet Pedersen S">S Sindet-Pedersen</name></author><author><name sortKey="Hall, G" uniqKey="Hall G">G Hall</name></author><author><name sortKey="Blomb Ck, M" uniqKey="Blomb Ck M">M Blombäck</name></author><author><name sortKey="Alander, U" uniqKey="Alander U">U Alander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wakefield, Cw" uniqKey="Wakefield C">CW Wakefield</name></author><author><name sortKey="Throndson, Rr" uniqKey="Throndson R">RR Throndson</name></author><author><name sortKey="Brock, T" uniqKey="Brock T">T Brock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ward, Bb" uniqKey="Ward B">BB Ward</name></author><author><name sortKey="Weideman, Em" uniqKey="Weideman E">EM Weideman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Appl Oral Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Appl Oral Sci</journal-id><journal-id journal-id-type="publisher-id">J. Appl. Oral. Sci.</journal-id><journal-title-group><journal-title>Journal of Applied Oral Science</journal-title></journal-title-group><issn pub-type="ppub">1678-7757</issn><issn pub-type="epub">1678-7765</issn><publisher><publisher-name>Faculdade de Odontologia de Bauru da Universidade de São
Paulo</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22666844</article-id><article-id pub-id-type="pmc">3894770</article-id><article-id pub-id-type="doi">10.1590/S1678-77572012000200020</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Assessment and management of oral health in liver transplant
candidates</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>da SILVA SANTOS</surname><given-names>Paulo Sérgio</given-names></name><xref ref-type="aff" rid="aff01">1</xref><xref ref-type="corresp" rid="c01"></xref></contrib><contrib contrib-type="author"><name><surname>FERNANDES</surname><given-names>Karin Sá</given-names></name><xref ref-type="aff" rid="aff02">2</xref></contrib><contrib contrib-type="author"><name><surname>GALLOTTINI</surname><given-names>Marina H. C.</given-names></name><xref ref-type="aff" rid="aff03">3</xref></contrib></contrib-group><aff id="aff01"><label>1</label> PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.</aff><aff id="aff02"><label>2</label> MD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</aff><aff id="aff03"><label>3</label> PhD, Department of Oral Pathology, Dental School, University of São Paulo, São Paulo, SP, Brazil.</aff><author-notes><corresp id="c01"><bold>Corresponding address:</bold> Prof. Dr. Paulo Sérgio da Silva Santos - Alameda
Octávio Pinheiro Brisolla, 9-75 -17012-901 - Bauru - SP - Brazil - Phone: 55 14
3235-8373 - e-mail: <email>paulosss@fob.usp.br</email></corresp></author-notes><pub-date pub-type="ppub"><season>Mar-Apr</season><year>2012</year></pub-date><volume>20</volume><issue>2</issue><fpage>241</fpage><lpage>245</lpage><history><date date-type="received"><day>02</day><month>8</month><year>2010</year></date><date date-type="rev-recd"><day>09</day><month>6</month><year>2011</year></date><date date-type="accepted"><day>08</day><month>7</month><year>2011</year></date></history><permissions><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative
Commons Attribution Non-Commercial License which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the
original work is properly cited. </license-p></license></permissions><abstract><p>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.</p><sec><title>Objectives</title><p> 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. </p></sec><sec><title>Material and Methods</title><p> 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. </p></sec><sec><title>Results</title><p> 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. </p></sec><sec><title>Conclusions</title><p> 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.</p></sec></abstract><kwd-group><kwd>Oral health</kwd><kwd>Dental care</kwd><kwd>Liver transplantation</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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