Postoperative complications after dental extraction in liver pretransplant patients
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
Resumo
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.
Abstract
Assunto
Tooth extraction, Liver transplantation, Hemorrhage
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Endereço externo
https://onlinelibrary.wiley.com/doi/10.1111/scd.12179