Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast

Detalhes bibliográficos
Autor(a) principal: Lins, L.
Data de Publicação: 2011
Outros Autores: Bittencourt, Paulo Lisboa, Evangelista, M. A., Lins, R., Codes, L., Cavalcanti, A. R., Paraná, Raymundo, Bastos, Jorge Luiz Andrade
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5418
Resumo: Acesso restrito: Texto completo. p. 1319-1321.
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spelling Lins, L.Bittencourt, Paulo LisboaEvangelista, M. A.Lins, R.Codes, L.Cavalcanti, A. R.Paraná, RaymundoBastos, Jorge Luiz AndradeLins, L.Bittencourt, Paulo LisboaEvangelista, M. A.Lins, R.Codes, L.Cavalcanti, A. R.Paraná, RaymundoBastos, Jorge Luiz Andrade2012-02-14T12:36:03Z20110041-1345http://www.repositorio.ufba.br/ri/handle/ri/5418v. 43, n. 4.Acesso restrito: Texto completo. p. 1319-1321.Background. Infections are a frequent cause of morbidity and mortality among postoperative liver transplant (OLT) patients and a leading cause of decompensated chronic liver disease (CLD) among patients awaiting the procedure. Oral lesions that are frequently observed in subjects with CLD may represent foci for systemic infections before and after OLT.Aims. To evaluate the oral health profile of patients with CLD awaiting OLT. Methods. One hundred thirty one patients including 100 males of overall mean age 49.5 10.8 years with CLD were listed for OLT and examined for oral health status according to a established protocol. Results. One hundred thirty (99%) patients were partially edentulous; 66 (51%) had chewing difficulties; and 63 (48%) experienced reduced salivary flow. With respect to periodontal disease and oral infections, 68 (25%) had periodontitis, 63 (48%) had periapical lesion, 64 (49%) had abscesses, and 59 (45%) had root fragments. Loss of follow-up was observed in 21 subjects. Among the 110 other patients, 63 (57%) underwent dental treatments with complications in only two cases. Interestingly, mortality was significantly lower among treated (31%) versus nontreated patient (79%; P .001). Conclusions. Poor oral health status observed in most CLD patients may represent a source of systemic infections before and after OLT. Treatment of such lesions was feasible in the majority of the patients and seemed to be associated with a reduction in mortality.INFECTIONS, a frequent cause of morbidity and mortality among patients with chronic liver disease (CLD),1 are associated with disease severity, as assessed either by the Child-Pugh (CPS) or the Model for End-stage Liver Disease (MELD) score. Furthermore, infectious complications are also often seen after liver transplantation (OLT),due to the additive effects of surgery, intensive care procedures,as well as immunosuppression. In addition, poor oral health status is a recognized risk factor for the development of infections, such as endocarditis, respiratory tract problems,and liver abscess, particularly among elderly or diabetic subjects or recipients of some solid organs.2–7 Patients withSubmitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-02-14T12:36:03Z No. of bitstreams: 1 __pdn.sciencedirect.com_....0-S0041134511005781-main.pdf: 53260 bytes, checksum: 7a71f23731c98fce3212343addf4dc99 (MD5)Made available in DSpace on 2012-02-14T12:36:03Z (GMT). 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dc.title.pt_BR.fl_str_mv Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
dc.title.alternative.pt_BR.fl_str_mv Tranplantation Proceedings
title Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
spellingShingle Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
Lins, L.
title_short Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
title_full Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
title_fullStr Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
title_full_unstemmed Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
title_sort Oral Health Profile of Cirrhotic Patients Awaiting Liver Transplantation in the Brazilian Northeast
author Lins, L.
author_facet Lins, L.
Bittencourt, Paulo Lisboa
Evangelista, M. A.
Lins, R.
Codes, L.
Cavalcanti, A. R.
Paraná, Raymundo
Bastos, Jorge Luiz Andrade
author_role author
author2 Bittencourt, Paulo Lisboa
Evangelista, M. A.
Lins, R.
Codes, L.
Cavalcanti, A. R.
Paraná, Raymundo
Bastos, Jorge Luiz Andrade
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lins, L.
Bittencourt, Paulo Lisboa
Evangelista, M. A.
Lins, R.
Codes, L.
Cavalcanti, A. R.
Paraná, Raymundo
Bastos, Jorge Luiz Andrade
Lins, L.
Bittencourt, Paulo Lisboa
Evangelista, M. A.
Lins, R.
Codes, L.
Cavalcanti, A. R.
Paraná, Raymundo
Bastos, Jorge Luiz Andrade
description Acesso restrito: Texto completo. p. 1319-1321.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-02-14T12:36:03Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5418
dc.identifier.issn.none.fl_str_mv 0041-1345
dc.identifier.number.pt_BR.fl_str_mv v. 43, n. 4.
identifier_str_mv 0041-1345
v. 43, n. 4.
url http://www.repositorio.ufba.br/ri/handle/ri/5418
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.pt_BR.fl_str_mv http://dx.doi.org.ez10.periodicos.capes.gov.br/10.1016/j.transproceed.2011.03.063
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