Surgical dental treatment prior to liver transplantation

Authors

  • Paulo Sérgio da Silva Santos University of São Paulo
  • Maria Izabel Sarmento e Souza Pacheco Santa Casa de Misericórdia of São Paulo, São Paulo
  • Mateus Pereira Alonso Soler Hospital Regional Sul, São Paulo
  • Valtuir Barbosa Felix Hospital Regional of Osasco, São Paulo

DOI:

https://doi.org/10.20396/bjos.v10i4.8641610

Keywords:

Surgery, Oral. Hemostatic techniques. Organ transplantation

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.

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Author Biographies

Paulo Sérgio da Silva Santos, University of São Paulo

DDS, MD, PhD, Department of Stomatology, Bauru School of Dentistry, University of São Paulo

Maria Izabel Sarmento e Souza Pacheco, Santa Casa de Misericórdia of São Paulo, São Paulo

DDS, Department of Oral and Maxillofacial Surgery, Santa Casa de Misericórdia of São Paulo, São Paulo

Mateus Pereira Alonso Soler, Hospital Regional Sul, São Paulo

DDS, Department of Oral and Maxillofacial Surgery, Hospital Regional Sul, São Paulo

Valtuir Barbosa Felix, Hospital Regional of Osasco, São Paulo

DDS, MD, PhD, Department of Oral and Maxillofacial Surgery, Hospital Regional of Osasco, São Paulo

Published

2015-11-05

How to Cite

1.
Santos PS da S, Pacheco MIS e S, Soler MPA, Felix VB. Surgical dental treatment prior to liver transplantation. Braz. J. Oral Sci. [Internet]. 2015 Nov. 5 [cited 2022 Dec. 1];10(4):254-7. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641610

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