638: Effect of Preoperative Dental and Otorhinolaryngeal Foci on Posttransplantation Outcome

Meyer, Simone; Ivanov, C.; Baholli, Loant; Knappe, Dorit; Thomsen, Camilla Fjord; Stritzky, A von; Wagner, Florian; Reichenspurner, H.; Costard‐Jäckle, Angelika

doi:10.1016/j.healun.2008.11.645

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2012

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“…However, the 15% incidence of unknown infection remains to be elucidated; therefore, post‐transplant dental assessment should be considered in repeated cases of respiratory or unknown infection. Controversially, in 61 heart‐transplant patients without pre‐transplant dental treatment, no dental focus could be detected in the post‐transplant follow‐up period . Interestingly, an elevated infection rate was observed in those patients without periodontitis in year 2 post‐transplantation.…”

Section: Discussionmentioning

confidence: 99%

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Dental care before lung transplantation: are we being too rigorous?

Walterspacher

Führmann

Germann

et al. 2012

Clinical Respiratory J

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No clearly defined dental foci were registered following transplantation. This raises the question of whether current dental treatment in these highly compromised patients is too rigorous with regard to tooth extractions. However, no focus could be detected in 15% of the registered infections. Therefore, controversially, post-transplantation dental care could also be insufficient with regard to undertreated periodontitis.

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Section: Discussionmentioning

confidence: 99%

“…In a survey among US transplant centres about dental status, post-transplantation sepsis was attributed to dental foci in 27% of cases (9). However, other studies have shown that omission of pre-transplant dental care in heart-transplant patients does not result in increased post-transplant morbidity (10,11).…”

Section: Introductionmentioning

confidence: 98%