Marija Gašpar1, Ana Glavina1, Kristina Grubišić2, Ivan Sabol3, Mirela Bušić1, Marinka Mravak1. 1. Department of Oral medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia. 2. Rudjer Bošković Institute, Zagreb, Croatia. 3. National Transplant Coordinator, Ministry of Health, Republic of Croatia.
Abstract
AIM: Patients with a solid organ transplant can have many different complications in the mouth, as a result of immunosuppression and side effects of drugs. The aim of this study was to examine the frequency and type of oral lesions in renal transplant patients, dental status, oral hygiene, oral lesions related to drugs which patients take and the time of transplantation as well as the frequency of patient's visits to the dentist in the post-transplant period. MATERIAL AND METHODS: The study was performed in a period of two years and included 100 subjects with a renal transplant during their regular control visits to the Department of Nephrology and Dialysis, Clinical Hospital Centre Zagreb and the Department of Oral Medicine, School of Dental Medicine, University of Zagreb and 100 randomly selected control subjects at the Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb. RESULTS: Results showed a significantly higher incidence of oral lesions in patients with renal transplant (31%) compared to control subjects. The most frequent were erythematous (inflammatory changes), keratotic lesions and gingival hyperplasia. The average DMFT index was significantly lower in patients with renal transplant than in the control group. One third of patients had a subjective feeling of dry mouth. Oral hygiene was poor overall, and only a small number of subjects used the additional sustainers for oral hygiene. Most patients did not visit the dentist after the transplantation. CONCLUSION: Renal transplant patients need a comprehensive and regular dental care during the pre- and post-transplant period and a doctor of dental medicine should be part of a multidisciplinary team of medical specialists.
AIM: Patients with a solid organ transplant can have many different complications in the mouth, as a result of immunosuppression and side effects of drugs. The aim of this study was to examine the frequency and type of oral lesions in renal transplant patients, dental status, oral hygiene, oral lesions related to drugs which patients take and the time of transplantation as well as the frequency of patient's visits to the dentist in the post-transplant period. MATERIAL AND METHODS: The study was performed in a period of two years and included 100 subjects with a renal transplant during their regular control visits to the Department of Nephrology and Dialysis, Clinical Hospital Centre Zagreb and the Department of Oral Medicine, School of Dental Medicine, University of Zagreb and 100 randomly selected control subjects at the Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb. RESULTS: Results showed a significantly higher incidence of oral lesions in patients with renal transplant (31%) compared to control subjects. The most frequent were erythematous (inflammatory changes), keratotic lesions and gingival hyperplasia. The average DMFT index was significantly lower in patients with renal transplant than in the control group. One third of patients had a subjective feeling of dry mouth. Oral hygiene was poor overall, and only a small number of subjects used the additional sustainers for oral hygiene. Most patients did not visit the dentist after the transplantation. CONCLUSION: Renal transplant patients need a comprehensive and regular dental care during the pre- and post-transplant period and a doctor of dental medicine should be part of a multidisciplinary team of medical specialists.
Authors: J A James; J J Marley; S Jamal; B A Campbell; C D Short; R W Johnson; P S Hull; H Spratt; C R Irwin; S Boomer; A P Maxwell; G J Linden Journal: J Clin Periodontol Date: 2000-02 Impact factor: 8.728
Authors: Acir José Dirschnabel; Alessandra de Souza Martins; Shirley Aparecida Gonçalves Dantas; Marina de Oliveira Ribas; Ana Maria Trindade Grégio; Luciana Reis de Azevedo Alanis; Sérgio Aparecido Ignacio; Paula Cristina Trevilatto; Rafaela Wassoler Casagrande; Antonio Adilson Soares de Lima; Maria Ângela Naval Machado Journal: Quintessence Int Date: 2011-02 Impact factor: 1.677