Postoperative complications after dental extraction in liver pretransplant patients

ABSTRACT Objectives The liver pretransplant phase requires the interaction of ­multidisciplinary teams for optimal patient outcomes, including dental ­professionals. In this study, we sought to estimate the prevalence of complications related to dental extraction in liver transplant candidates. Mate...

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Bibliographic Details
Published in:Special care in dentistry 2016-09, Vol.36 (5), p.277-281
Main Authors: Pereira, Thaís dos Santos Fontes, Pelinsari, Fernanda Cristina Melo, Ruas, Bruna Mara, Avelar, Luanne Priscila Pereira, da Fonseca, Vitor José, de Abreu, Mauro Henrique Nogueira, Salomão, Ulisses Eliezer, Lima, Agnaldo Soares, de Souza e Silva, Maria Elisa, Gomez, Ricardo Santiago
Format: Article
Language:English
Subjects:
Brazil - epidemiology
dental
Dentistry
Female
focal infection
Humans
liver cirrhosis
Liver Diseases - complications
Liver Diseases - epidemiology
Liver Diseases - surgery
liver transplant
Liver Transplantation
Male
Middle Aged
oral hemorrhage
Postoperative Complications - epidemiology
Prevalence
Tooth Extraction
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Summary:ABSTRACT Objectives The liver pretransplant phase requires the interaction of ­multidisciplinary teams for optimal patient outcomes, including dental ­professionals. In this study, we sought to estimate the prevalence of complications related to dental extraction in liver transplant candidates. Material and methods This study is a case series of patients eligible for liver transplants referred for dental treatment between 2012 and 2014. Eligible patients for this study underwent at least one tooth extraction, had a complete blood count at the time of the procedure, and were candidates for liver transplantation. Results Forty‐three patients, 12 women (28%) and 31 men (72%), with an ­average age of 50.9 ± 11.4 years, had received a total of 116 dental extractions. The prevalence of postoperative complications was 1.7% including two bleeding episodes in the same patient. Seven patients presented a platelet count below 50 × 10³/μL and received platelet transfusions preoperatively. Conclusions Postoperative complications following dental extractions in liver transplant candidates are unusual. Clinical Relevance Low postoperative complications prevalence indicates that dental surgical procedures may be safety performed in patients eligible for liver transplantation after careful ­preoperative evaluation.
ISSN:0275-1879
1754-4505
DOI:10.1111/scd.12179