Dental Management Considerations of Organ Transplant Patients
Pretransplantation considerations
- Significantly ill patient with end-organ damage
- Medical consultation required
- Consider postponing elective treatment
- Dental consultation prior to anticipated transplant:
Rule out dental infectious sources, definitively Perform necessary treatment; this will require consultation with trans-plantation physician to determine medical risk-to-benefit ratio
Obtain laboratory information/supplemental information as needed
Become acquainted with specific management issues (eg, blood products,prophylactic antibiotics) that may need to be employed if treatment is rendered.
Post-transplantation considerations
- Immediate post-transplantation period
- No elective dental treatment performed
- Emergency treatment only with medical consultation and consideration of specific management needs
Stable post-transplantation period
- Elective treatment may be performed after medical consultation with the transplantation physician
- Issues of immunosuppression must be recognized
- Oral mucosal disease must be diagnosed and treated
- Supplemental corticosteroids (steroid boost) may be necessary
- Consideration of antibiotic prophylaxis needed
- Consideration of specific management needs
Post-transplantation chronic rejection period
- Only emergency treatment
- Patients are very ill as they are immunosuppressed and have organ failure
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