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Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
EISSN: 1677-3225
Vol. 10, No. 4, 2011, pp. 254-257
Bioline Code: os11052
Full paper language: English
Document type: Research Article
Document available free of charge

Brazilian Journal of Oral Sciences, Vol. 10, No. 4, 2011, pp. 254-257

 en Surgical dental treatment prior to liver transplantation
da Silva Santos, Paulo Sérgio; de Souza Pacheco, Maria Izabel Sarmento; Soler, Mateus Pereira Alonso & Felix, Valtuir Barbosa

Abstract

Oral-source infections are a potential threat for transplant candidates because oral diseases tend to be more severe and untreated in people who have received transplants. Although not yet scientifically proven, evaluation and dental treatment during the pre-transplantation period is recommended in order to prevent infections and resultant odontogenic-origin sepsis during the post-transplant period, when patients receive immunosuppressive therapy.
Aim: To evaluate the invasive dental procedures for removing dental foci performed in patients scheduled for liver transplantation and its accompanying complications.
Methods: The medical records of 33 preliver transplant recipients who were undergoing invasive dental procedures were reviewed, including their laboratory tests, special handling needs and resulting complications.
Results: Fifty invasive dental procedures were carried out on the 33 patients. Three of them were subjected to basic periodontal treatment and 47 were subjected to multiple or simple extractions. Three surgical procedures resulted in postoperative complications.
Conclusions: Surgical intervention to remove dental foci in liver disease patients requires careful clinical evaluation, laboratory tests, knowledge and skills in the use of local and systemic hemostatic procedures, and a partnership approach between dentists and physicians, in order to reduce the risk of complications.

Keywords
surgery, oral, hemostatic techniques, organ transplantation

 
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