Effect of the aetiology and severity of liver disease on oral health and dental treatment prior to transplantation
Identifieur interne : 003B55 ( Main/Exploration ); précédent : 003B54; suivant : 003B56Effect of the aetiology and severity of liver disease on oral health and dental treatment prior to transplantation
Auteurs : Jaana Helenius-Hietala [Finlande] ; Jukka H. Meurman [Finlande] ; Krister Höckerstedt [Finlande] ; Christian Lindqvist [Finlande] ; Helena Isoniemi [Finlande]Source :
- Transplant International [ 0934-0874 ] ; 2012-02.
Descripteurs français
- Wicri :
- geographic : Finlande.
- topic : Maladie cardio-vasculaire.
English descriptors
- KwdEn :
- Adult patients, Aetiology, Alci, Alci patients, Alcohol cirrhosis, Alveolar bone loss, Antibiotic prophylaxis, Apical periodontitis, Authors transplant, Autoimmune cirrhosis, Biliary, Biliary atresia, Cardiovascular disease, Caries, Chronic liver disease, Chronic liver disease patients, Cirrhosis, Common reason, Crypt, Crypt patients, Cryptogenic cirrhosis, Deep caries cavities, Dental, Dental caries, Dental examination, Dental foci, Dental health status, Dental infection foci, Dental infections, Dental management, Dental procedures, Dental treatment, Dental treatments, Dialysis patients, Different patient groups, European society, Evaluation process, Extraction, Fewer tooth extractions, Finland, Helsinki, Helsinki university, Highest number, Important factor, Infectious foci, Liver disease, Liver transplant patient, Liver transplant patients, Liver transplantation, Lowest number, Median, Medical condition, Medication, Metabolic liver diseases, Mucosal pathologies, Oral health, Oral health data, Oral health status, Oral infections, Oral mucosa, Oral pathol, Oral surg, Organ transplantation, Other cirrhosis, Other group, Other hand, Other liver disease groups, Pathol, Periodontitis, Present study, Pretransplant, Primary biliary cirrhosis, Primary sclerosing cholangitis, Primary syndrome, Radiol endod, Regression analysis, Risk factor, Root remnants, Score group, Several studies, Stage liver disease, Surg, Tooth decay, Tooth extractions, Transplant, Transplantation, Viral hepatitis, Wisdom teeth, Wisdom tooth.
- Teeft :
- Adult patients, Aetiology, Alci, Alci patients, Alcohol cirrhosis, Alveolar bone loss, Antibiotic prophylaxis, Apical periodontitis, Authors transplant, Autoimmune cirrhosis, Biliary, Biliary atresia, Cardiovascular disease, Caries, Chronic liver disease, Chronic liver disease patients, Cirrhosis, Common reason, Crypt, Crypt patients, Cryptogenic cirrhosis, Deep caries cavities, Dental, Dental caries, Dental examination, Dental foci, Dental health status, Dental infection foci, Dental infections, Dental management, Dental procedures, Dental treatment, Dental treatments, Dialysis patients, Different patient groups, European society, Evaluation process, Extraction, Fewer tooth extractions, Finland, Helsinki, Helsinki university, Highest number, Important factor, Infectious foci, Liver disease, Liver transplant patient, Liver transplant patients, Liver transplantation, Lowest number, Median, Medical condition, Medication, Metabolic liver diseases, Mucosal pathologies, Oral health, Oral health data, Oral health status, Oral infections, Oral mucosa, Oral pathol, Oral surg, Organ transplantation, Other cirrhosis, Other group, Other hand, Other liver disease groups, Pathol, Periodontitis, Present study, Pretransplant, Primary biliary cirrhosis, Primary sclerosing cholangitis, Primary syndrome, Radiol endod, Regression analysis, Risk factor, Root remnants, Score group, Several studies, Stage liver disease, Surg, Tooth decay, Tooth extractions, Transplant, Transplantation, Viral hepatitis, Wisdom teeth, Wisdom tooth.
Abstract
Elimination of dental infection foci has been recommended before liver transplantation (LT) because lifelong immunosuppression may predispose to infection spread. Association between pre‐LT oral health and the aetiology and severity of chronic liver disease (CLD) was investigated retrospectively. A total of 212 adult patients (median age 51.1) who had received LT during 2000–2006 in Finland were included. Their oral health had been pre‐operatively examined. Patients were divided into seven different CLD groups. Common indications for LT were primary sclerosing cholangitis (PSC 25.5%), alcohol cirrhosis (ALCI 17.5%) and primary biliary cirrhosis (PBC 14.6%). Patients were also categorized by the Model for End stage Liver Disease (MELD) scoring system. Medical, dental and panoramic jaw x‐ray data were analysed between groups. PBC patients had the lowest number of teeth with significant difference to PSC patients (19.7 vs. 25.6, P < 0.005, anova, t‐test). ALCI patients had the highest number of tooth extractions with significant difference in comparison to PSC patients (5.6 vs. 2.5, P < 0.005). Lower MELD score resulted in fewer tooth extractions but after adjusting for several confounding factors, age was the most important factor associated with extractions (P < 0.005). The aetiology of CLD associated with the oral health status and there was a tendency towards worse dental health with higher MELD scores.
Url:
DOI: 10.1111/j.1432-2277.2011.01381.x
Affiliations:
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type="ISSN">0934-0874</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult patients</term><term>Aetiology</term><term>Alci</term><term>Alci patients</term><term>Alcohol cirrhosis</term><term>Alveolar bone loss</term><term>Antibiotic prophylaxis</term><term>Apical periodontitis</term><term>Authors transplant</term><term>Autoimmune cirrhosis</term><term>Biliary</term><term>Biliary atresia</term><term>Cardiovascular disease</term><term>Caries</term><term>Chronic liver disease</term><term>Chronic liver disease patients</term><term>Cirrhosis</term><term>Common reason</term><term>Crypt</term><term>Crypt patients</term><term>Cryptogenic cirrhosis</term><term>Deep caries cavities</term><term>Dental</term><term>Dental caries</term><term>Dental examination</term><term>Dental foci</term><term>Dental health status</term><term>Dental infection foci</term><term>Dental infections</term><term>Dental management</term><term>Dental procedures</term><term>Dental treatment</term><term>Dental treatments</term><term>Dialysis patients</term><term>Different patient groups</term><term>European society</term><term>Evaluation process</term><term>Extraction</term><term>Fewer tooth extractions</term><term>Finland</term><term>Helsinki</term><term>Helsinki university</term><term>Highest number</term><term>Important factor</term><term>Infectious foci</term><term>Liver disease</term><term>Liver transplant patient</term><term>Liver transplant patients</term><term>Liver transplantation</term><term>Lowest number</term><term>Median</term><term>Medical condition</term><term>Medication</term><term>Metabolic liver diseases</term><term>Mucosal pathologies</term><term>Oral health</term><term>Oral health data</term><term>Oral health status</term><term>Oral infections</term><term>Oral mucosa</term><term>Oral pathol</term><term>Oral surg</term><term>Organ transplantation</term><term>Other cirrhosis</term><term>Other group</term><term>Other hand</term><term>Other liver disease groups</term><term>Pathol</term><term>Periodontitis</term><term>Present study</term><term>Pretransplant</term><term>Primary biliary cirrhosis</term><term>Primary sclerosing cholangitis</term><term>Primary syndrome</term><term>Radiol endod</term><term>Regression analysis</term><term>Risk factor</term><term>Root remnants</term><term>Score group</term><term>Several studies</term><term>Stage liver disease</term><term>Surg</term><term>Tooth decay</term><term>Tooth extractions</term><term>Transplant</term><term>Transplantation</term><term>Viral hepatitis</term><term>Wisdom teeth</term><term>Wisdom tooth</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adult patients</term><term>Aetiology</term><term>Alci</term><term>Alci patients</term><term>Alcohol cirrhosis</term><term>Alveolar bone loss</term><term>Antibiotic prophylaxis</term><term>Apical periodontitis</term><term>Authors transplant</term><term>Autoimmune cirrhosis</term><term>Biliary</term><term>Biliary atresia</term><term>Cardiovascular disease</term><term>Caries</term><term>Chronic liver disease</term><term>Chronic liver disease patients</term><term>Cirrhosis</term><term>Common reason</term><term>Crypt</term><term>Crypt patients</term><term>Cryptogenic cirrhosis</term><term>Deep caries cavities</term><term>Dental</term><term>Dental caries</term><term>Dental examination</term><term>Dental foci</term><term>Dental health status</term><term>Dental infection foci</term><term>Dental infections</term><term>Dental management</term><term>Dental procedures</term><term>Dental treatment</term><term>Dental treatments</term><term>Dialysis patients</term><term>Different patient groups</term><term>European society</term><term>Evaluation process</term><term>Extraction</term><term>Fewer tooth extractions</term><term>Finland</term><term>Helsinki</term><term>Helsinki university</term><term>Highest number</term><term>Important factor</term><term>Infectious foci</term><term>Liver disease</term><term>Liver transplant patient</term><term>Liver transplant patients</term><term>Liver transplantation</term><term>Lowest number</term><term>Median</term><term>Medical condition</term><term>Medication</term><term>Metabolic liver diseases</term><term>Mucosal pathologies</term><term>Oral health</term><term>Oral health data</term><term>Oral health status</term><term>Oral infections</term><term>Oral mucosa</term><term>Oral pathol</term><term>Oral surg</term><term>Organ transplantation</term><term>Other cirrhosis</term><term>Other group</term><term>Other hand</term><term>Other liver disease groups</term><term>Pathol</term><term>Periodontitis</term><term>Present study</term><term>Pretransplant</term><term>Primary biliary cirrhosis</term><term>Primary sclerosing cholangitis</term><term>Primary syndrome</term><term>Radiol endod</term><term>Regression analysis</term><term>Risk factor</term><term>Root remnants</term><term>Score group</term><term>Several studies</term><term>Stage liver disease</term><term>Surg</term><term>Tooth decay</term><term>Tooth extractions</term><term>Transplant</term><term>Transplantation</term><term>Viral hepatitis</term><term>Wisdom teeth</term><term>Wisdom tooth</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Finlande</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie cardio-vasculaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Elimination of dental infection foci has been recommended before liver transplantation (LT) because lifelong immunosuppression may predispose to infection spread. Association between pre‐LT oral health and the aetiology and severity of chronic liver disease (CLD) was investigated retrospectively. A total of 212 adult patients (median age 51.1) who had received LT during 2000–2006 in Finland were included. Their oral health had been pre‐operatively examined. Patients were divided into seven different CLD groups. Common indications for LT were primary sclerosing cholangitis (PSC 25.5%), alcohol cirrhosis (ALCI 17.5%) and primary biliary cirrhosis (PBC 14.6%). Patients were also categorized by the Model for End stage Liver Disease (MELD) scoring system. Medical, dental and panoramic jaw x‐ray data were analysed between groups. PBC patients had the lowest number of teeth with significant difference to PSC patients (19.7 vs. 25.6, P < 0.005, anova, t‐test). ALCI patients had the highest number of tooth extractions with significant difference in comparison to PSC patients (5.6 vs. 2.5, P < 0.005). Lower MELD score resulted in fewer tooth extractions but after adjusting for several confounding factors, age was the most important factor associated with extractions (P < 0.005). The aetiology of CLD associated with the oral health status and there was a tendency towards worse dental health with higher MELD scores.</div></front></TEI><affiliations><list><country><li>Finlande</li></country><region><li>Uusimaa</li></region><settlement><li>Helsinki</li></settlement><orgName><li>Université d'Helsinki</li></orgName></list><tree><country name="Finlande"><region name="Uusimaa"><name sortKey="Helenius Ietala, Jaana" sort="Helenius Ietala, Jaana" uniqKey="Helenius Ietala J" first="Jaana" last="Helenius-Hietala">Jaana Helenius-Hietala</name></region><name sortKey="Hockerstedt, Krister" sort="Hockerstedt, Krister" uniqKey="Hockerstedt K" first="Krister" last="Höckerstedt">Krister Höckerstedt</name><name sortKey="Isoniemi, Helena" sort="Isoniemi, Helena" uniqKey="Isoniemi H" first="Helena" last="Isoniemi">Helena Isoniemi</name><name sortKey="Lindqvist, Christian" sort="Lindqvist, Christian" uniqKey="Lindqvist C" first="Christian" last="Lindqvist">Christian Lindqvist</name><name sortKey="Lindqvist, Christian" sort="Lindqvist, Christian" uniqKey="Lindqvist C" first="Christian" last="Lindqvist">Christian Lindqvist</name><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name><name sortKey="Meurman, Jukka H" sort="Meurman, Jukka H" uniqKey="Meurman J" first="Jukka H." last="Meurman">Jukka H. Meurman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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