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Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast

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Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast

Auteurs : L. Lins [Brésil] ; P. L. Bittencourt [Brésil] ; M. A. Evangelista [Brésil] ; R. Lins [Brésil] ; L. Codes [Brésil] ; A. R. Cavalcanti [Brésil] ; R. Parana [Brésil] ; J. Bastos [Brésil]

Source :

Transplantation proceedings [ 0041-1345 ] ; 2011.

RBID : Pascal:11-0272689

Descripteurs français

Pascal (Inist)
- Pathologie dentaire, Cavité buccale, Santé bucco-dentaire, Cirrhose, Profil, Homme, Homotransplantation, Malade, Liste attente, Foie, Brésil, Nord est, Médecine, Greffe, Traitement, Transplantation hépatique.
Wicri :
- geographic : Brésil.
- topic : Homme, Médecine.

English descriptors

KwdEn :
- Brazil, Bucco-dental health, Cirrhosis, Dental disease, Graft, Homotransplantation, Human, Liver, Liver transplantation, Medicine, Northeast, Oral cavity, Patient, Profile, Treatment, Waiting list.

Abstract

Background. Infections are a frequent cause of morbidity and mortality among postoperative liver transplant (OLT) patients and a leading cause of decompensated chronic liver disease (CLD) among patients awaiting the procedure. Oral lesions that are frequently observed in subjects with CLD may represent foci for systemic infections before and after OLT. Aims. To evaluate the oral health profile of patients with CLD awaiting OLT. Methods. One hundred thirty one patients including 100 males of overall mean age 49.5 ± 10.8 years with CLD were listed for OLT and examined for oral health status according to a established protocol. Results. One hundred thirty (99%) patients were partially edentulous; 66 (51%) had chewing difficulties; and 63 (48%) experienced reduced salivary flow. With respect to periodontal disease and oral infections, 68 (25%) had periodontitis, 63 (48%) had periapical lesion, 64 (49%) had abscesses, and 59 (45%) had root fragments. Loss of follow-up was observed in 21 subjects. Among the 110 other patients, 63 (57%) underwent dental treatments with complications in only two cases. Interestingly, mortality was significantly lower among treated (31%) versus nontreated patient (79%; P < .001). Conclusions. Poor oral health status observed in most CLD patients may represent a source of systemic infections before and after OLT. Treatment of such lesions was feasible in the majority of the patients and seemed to be associated with a reduction in mortality.

Affiliations:

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Le document en format XML

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<series><title level="j" type="main">Transplantation proceedings</title>
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<seriesStmt><title level="j" type="main">Transplantation proceedings</title>
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<idno type="ISSN">0041-1345</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brazil</term>
<term>Bucco-dental health</term>
<term>Cirrhosis</term>
<term>Dental disease</term>
<term>Graft</term>
<term>Homotransplantation</term>
<term>Human</term>
<term>Liver</term>
<term>Liver transplantation</term>
<term>Medicine</term>
<term>Northeast</term>
<term>Oral cavity</term>
<term>Patient</term>
<term>Profile</term>
<term>Treatment</term>
<term>Waiting list</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Pathologie dentaire</term>
<term>Cavité buccale</term>
<term>Santé bucco-dentaire</term>
<term>Cirrhose</term>
<term>Profil</term>
<term>Homme</term>
<term>Homotransplantation</term>
<term>Malade</term>
<term>Liste attente</term>
<term>Foie</term>
<term>Brésil</term>
<term>Nord est</term>
<term>Médecine</term>
<term>Greffe</term>
<term>Traitement</term>
<term>Transplantation hépatique</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term>
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<front><div type="abstract" xml:lang="en">Background. Infections are a frequent cause of morbidity and mortality among postoperative liver transplant (OLT) patients and a leading cause of decompensated chronic liver disease (CLD) among patients awaiting the procedure. Oral lesions that are frequently observed in subjects with CLD may represent foci for systemic infections before and after OLT. Aims. To evaluate the oral health profile of patients with CLD awaiting OLT. Methods. One hundred thirty one patients including 100 males of overall mean age 49.5 ± 10.8 years with CLD were listed for OLT and examined for oral health status according to a established protocol. Results. One hundred thirty (99%) patients were partially edentulous; 66 (51%) had chewing difficulties; and 63 (48%) experienced reduced salivary flow. With respect to periodontal disease and oral infections, 68 (25%) had periodontitis, 63 (48%) had periapical lesion, 64 (49%) had abscesses, and 59 (45%) had root fragments. Loss of follow-up was observed in 21 subjects. Among the 110 other patients, 63 (57%) underwent dental treatments with complications in only two cases. Interestingly, mortality was significantly lower among treated (31%) versus nontreated patient (79%; P < .001). Conclusions. Poor oral health status observed in most CLD patients may represent a source of systemic infections before and after OLT. Treatment of such lesions was feasible in the majority of the patients and seemed to be associated with a reduction in mortality.</div>
</front>
</TEI>
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<name sortKey="Bastos, J" sort="Bastos, J" uniqKey="Bastos J" first="J." last="Bastos">J. Bastos</name>
<name sortKey="Bittencourt, P L" sort="Bittencourt, P L" uniqKey="Bittencourt P" first="P. L." last="Bittencourt">P. L. Bittencourt</name>
<name sortKey="Cavalcanti, A R" sort="Cavalcanti, A R" uniqKey="Cavalcanti A" first="A. R." last="Cavalcanti">A. R. Cavalcanti</name>
<name sortKey="Codes, L" sort="Codes, L" uniqKey="Codes L" first="L." last="Codes">L. Codes</name>
<name sortKey="Evangelista, M A" sort="Evangelista, M A" uniqKey="Evangelista M" first="M. A." last="Evangelista">M. A. Evangelista</name>
<name sortKey="Lins, R" sort="Lins, R" uniqKey="Lins R" first="R." last="Lins">R. Lins</name>
<name sortKey="Parana, R" sort="Parana, R" uniqKey="Parana R" first="R." last="Parana">R. Parana</name>
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Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast

Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri