UNIGE document Scientific Article
previous document  unige:100534  next document
add to browser collection

Oral health of pediatric liver transplant recipients

Published in Pediatric Transplantation. 2017, vol. 21, no. 7, p. e13019
Abstract To evaluate oral health conditions in pediatric liver transplant recipients, with special focus on caries, green staining of the teeth, gingival bleeding, and gingival overgrowth. 40 patients (mean age 11.6 years) were examined at a routine follow-up visit, 6 months to 16 years after liver transplantation at the Swiss Center for Liver Disease in Children. After the medical examination, participants were further examined for the presence of dental caries, periodontal disease, GE, and GTC. The mean decay, missing, and filled teeth (dmft/DMFT) score was 3.8. 45% of the participants presented at least one carious lesion. Two-third of the participants had more than 20% of sites with the presence of plaque and gingival inflammation. Signs of GE were found in 18% and GTC in 30% of the participants. A positive correlation was identified between GTC and peak serum bilirubin (P<.001) and primary diagnosis of cholestatic disease (P=.04). Gingival inflammation was associated with plaque (P<.001), use of immunosuppressive medication (P=.04), and was more pronounced in children with cholestatic disease (P=.007). Children and young adults with liver transplants presented a rather poor oral health status. Liver transplant physicians should counsel patients for regular dental follow-up in order to avoid serious dental infections.
Keywords CariesDental careGingival enlargementGingivitisGreenish tooth colorationLiver transplantation
PMID: 28670817
Full text
Article (Published version) (419 Kb) - public document Free access
Research groups Développement du tube digestif chez les vertébrés (900)
Groupe Giannopoulou Ekatirini (médecine dentaire) (626)
(ISO format)
SANDOVAL LIZANA, Maria Jose et al. Oral health of pediatric liver transplant recipients. In: Pediatric Transplantation, 2017, vol. 21, n° 7, p. e13019. doi: 10.1111/petr.13019 https://archive-ouverte.unige.ch/unige:100534

289 hits



Deposited on : 2017-12-19

Export document
Format :
Citation style :