Dental health status of liver transplant candidates.
Identifieur interne : 006757 ( Main/Curation ); précédent : 006756; suivant : 006758Dental health status of liver transplant candidates.
Auteurs : James Guggenheimer [États-Unis] ; Bijan Eghtesad ; John M. Close ; Christine Shay ; John J. FungSource :
- Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society [ 1527-6465 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bouche édentée (), Bouche édentée (diagnostic), Bouche édentée (épidémiologie), Facteurs de risque, Femelle, Humains, Maladies des dents (), Maladies des dents (épidémiologie), Maladies du foie (), Mâle, Prévalence, Sujet âgé de 80 ans ou plus, Transplantation hépatique, Xérostomie (), Xérostomie (épidémiologie).
- MESH :
- diagnostic : Bouche édentée.
- épidémiologie : Bouche édentée, Maladies des dents, Xérostomie.
- Adulte, Adulte d'âge moyen, Bouche édentée, Facteurs de risque, Femelle, Humains, Maladies des dents, Maladies du foie, Mâle, Prévalence, Sujet âgé de 80 ans ou plus, Transplantation hépatique, Xérostomie.
English descriptors
- KwdEn :
- Adult, Aged, 80 and over, Female, Humans, Liver Diseases (complications), Liver Diseases (surgery), Liver Transplantation, Male, Middle Aged, Mouth, Edentulous (complications), Mouth, Edentulous (diagnosis), Mouth, Edentulous (epidemiology), Prevalence, Risk Factors, Tooth Diseases (complications), Tooth Diseases (epidemiology), Xerostomia (complications), Xerostomia (epidemiology).
- MESH :
- complications : Liver Diseases, Mouth, Edentulous, Tooth Diseases, Xerostomia.
- diagnosis : Mouth, Edentulous.
- epidemiology : Mouth, Edentulous, Tooth Diseases, Xerostomia.
- surgery : Liver Diseases.
- Adult, Aged, 80 and over, Female, Humans, Liver Transplantation, Male, Middle Aged, Prevalence, Risk Factors.
Abstract
A prerequisite dental evaluation is usually recommended for potential organ transplant candidates. This is based on the premise that untreated dental disease may pose a risk for infection and sepsis, although there is no evidence that this has occurred in organ transplant candidates or recipients. The purpose of this study was to assess the prevalence of dental disease and oral health behaviors in a sample of liver transplant candidates (LTCs). Oral examinations were conducted on 300 LTCs for the presence of gingivitis, dental plaque, dental caries, periodontal disease, edentulism, and xerostomia. The prevalence of these conditions was compared with oral health data from national health surveys and examined for possible associations with most recent dental visit, smoking, and type of liver disease. Significant risk factors for plaque-related gingivitis included intervals of more than 1 yr since the last dental visit (P = 0.004), smoking (P = 0.03), and diuretic therapy (P = 0.005). Dental caries and periodontal disease were also significantly associated with intervals of more than 1 yr since the last dental visit (P = 0.004). LTCs with viral hepatitis or alcoholic cirrhosis had the highest smoking rate (78.8%). Higher rates of edentulism occurred among older LTCs who were less likely to have had a recent dental evaluation (mean 88 months). In conclusion, intervals of more than 1 yr since the last dental visit, smoking, and diuretic therapy appear to be the most significant determinants of dental disease and the need for a pretransplantation dental screening evaluation in LTCs. Edentulous patients should have periodic examinations for oral cancer.
DOI: 10.1002/lt.21038
PubMed: 17256760
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Close</name></author><author><name sortKey="Shay, Christine" sort="Shay, Christine" uniqKey="Shay C" first="Christine" last="Shay">Christine Shay</name></author><author><name sortKey="Fung, John J" sort="Fung, John J" uniqKey="Fung J" first="John J" last="Fung">John J. 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Close</name></author><author><name sortKey="Shay, Christine" sort="Shay, Christine" uniqKey="Shay C" first="Christine" last="Shay">Christine Shay</name></author><author><name sortKey="Fung, John J" sort="Fung, John J" uniqKey="Fung J" first="John J" last="Fung">John J. Fung</name></author></analytic><series><title level="j">Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society</title><idno type="ISSN">1527-6465</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Liver Diseases (complications)</term><term>Liver Diseases (surgery)</term><term>Liver Transplantation</term><term>Male</term><term>Middle Aged</term><term>Mouth, Edentulous (complications)</term><term>Mouth, Edentulous (diagnosis)</term><term>Mouth, Edentulous (epidemiology)</term><term>Prevalence</term><term>Risk Factors</term><term>Tooth Diseases (complications)</term><term>Tooth Diseases (epidemiology)</term><term>Xerostomia (complications)</term><term>Xerostomia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bouche édentée ()</term><term>Bouche édentée (diagnostic)</term><term>Bouche édentée (épidémiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Maladies des dents ()</term><term>Maladies des dents (épidémiologie)</term><term>Maladies du foie ()</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé de 80 ans ou plus</term><term>Transplantation hépatique</term><term>Xérostomie ()</term><term>Xérostomie (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Liver Diseases</term><term>Mouth, Edentulous</term><term>Tooth Diseases</term><term>Xerostomia</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term><term>Tooth Diseases</term><term>Xerostomia</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Liver Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Maladies des dents</term><term>Xérostomie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Liver Transplantation</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Maladies des dents</term><term>Maladies du foie</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé de 80 ans ou plus</term><term>Transplantation hépatique</term><term>Xérostomie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A prerequisite dental evaluation is usually recommended for potential organ transplant candidates. This is based on the premise that untreated dental disease may pose a risk for infection and sepsis, although there is no evidence that this has occurred in organ transplant candidates or recipients. The purpose of this study was to assess the prevalence of dental disease and oral health behaviors in a sample of liver transplant candidates (LTCs). Oral examinations were conducted on 300 LTCs for the presence of gingivitis, dental plaque, dental caries, periodontal disease, edentulism, and xerostomia. The prevalence of these conditions was compared with oral health data from national health surveys and examined for possible associations with most recent dental visit, smoking, and type of liver disease. Significant risk factors for plaque-related gingivitis included intervals of more than 1 yr since the last dental visit (P = 0.004), smoking (P = 0.03), and diuretic therapy (P = 0.005). Dental caries and periodontal disease were also significantly associated with intervals of more than 1 yr since the last dental visit (P = 0.004). LTCs with viral hepatitis or alcoholic cirrhosis had the highest smoking rate (78.8%). Higher rates of edentulism occurred among older LTCs who were less likely to have had a recent dental evaluation (mean 88 months). In conclusion, intervals of more than 1 yr since the last dental visit, smoking, and diuretic therapy appear to be the most significant determinants of dental disease and the need for a pretransplantation dental screening evaluation in LTCs. Edentulous patients should have periodic examinations for oral cancer.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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