Oral Health in Patients With Liver Diseases

Panov, Vladimir; Krasteva, Assya

doi:10.5272/jimab.2011172.140

Cited by 8 publications

(27 citation statements)

References 4 publications

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“…The 13 articles meeting the inclusion criteria were based on 12 study samples and were published between 1981 and 2014. 7 , 8 , 18 – 28 Two studies were conducted on the same study population: one study investigated the radiographic findings and the other study investigated the clinical findings. 25 , 26 …”

Section: Resultsmentioning

confidence: 99%

“…Three studies were cohort studies, 7 , 8 , 18 nine of the studies were cross-sectional studies, of which eight included control groups 19 – 22 , 25 – 28 and the last study was a retrospective review of medical records. 24 The studies were conducted in 10 countries: one each from Austria, Bulgaria, Denmark, Finland, Romania, Spain, and United States and two each from India, Israel, and Brazil.…”

Section: Resultsmentioning

confidence: 99%

“…In 11 studies, the primary aim was the investigation of oral health and periodontal disease in cirrhotic patients. 8 , 18 – 22 , 24 – 28 In the remaining studies, the association between periodontal disease and serum alkaline phosphatase, MELD score and spontaneous bacterial peritonitis (SBP) episodes, 7 , 23 was investigated. Two studies also investigated the outcome after treating patients for periodontal disease.…”

Section: Resultsmentioning

confidence: 99%

“… 7 , 8 , 18 , 21 , 27 In two studies, the population consisted of patients with chronic hepatitis B or C and cirrhosis or alcoholic cirrhosis. 19 , 22 In the last six studies, the aetiology of cirrhosis remained unclear. 20 , 23 – 26 , 28 …”

Section: Resultsmentioning

confidence: 99%

“… 19 The other studies recruited in- and out-patients from gastroenterology and hepatology units; in eight of these studies, recruited patients were on a waiting list prior to liver transplantation. 7 , 8 , 18 , 20 – 22 , 25 , 26 …”

Section: Resultsmentioning

confidence: 99%

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Periodontal disease and liver cirrhosis: A systematic review

Grønkjær

2015

SAGE Open Medicine

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Objectives:Studies suggest that periodontal disease, a source of subclinical and persistent infection, may be associated with various systemic conditions, including liver cirrhosis. The aim of this study was to examine the literature and determine the relationship between periodontal disease and liver cirrhosis and to identify opportunities and directions for future research in this area.Methods:A systematic review of English articles in the PubMed, EMBASE, and Scopus databases was conducted using search terms including ‘liver cirrhosis’, ‘end-stage liver disease’, ‘liver diseases’, ‘oral health’, ‘periodontal disease’, ‘mouth disease’, ‘gingivitis’, and ‘periodontitis’.Results:Thirteen studies published between 1981 and 2014 were found to include data on oral health and periodontal disease in cirrhotic patients. Studies indicated an increased incidence of periodontal disease in patients with liver cirrhosis, measured with several different periodontal indices. The reported prevalence of periodontal disease in cirrhosis patients ranged from 25.0% to 68.75% in four studies and apical periodontitis was found in 49%–79% of the patients. One study found that mortality was lower among patients who underwent dental treatment versus non-treated patients. Another study suggested an association between periodontal disease and the progression of liver cirrhosis, but data are sparse and conflicting as to whether periodontal disease is correlated to cirrhosis aetiology and severity.Conclusion:Despite the clinical reality of periodontal disease in liver cirrhosis patients, there are few published studies. Before clinical implications can be addressed, more data on the prevalence of and correlation between periodontal disease and liver cirrhosis aetiology, duration, and progression are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Periodontal disease and liver cirrhosis: A systematic review

Grønkjær

2015

SAGE Open Medicine

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Can Plasma Rich in Growth Factors Expedite Healing of Postextraction Tooth Sockets in Patients Undergoing Urgent Liver Transplantation?

Cocero

Caratori

Martini

et al. 2021

Journal of Oral and Maxillofacial Surgery

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Is dental caries associated with liver transplantation? A systematic review and meta‐analysis

et al. 2020

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Objective The aim of this systematic review and meta‐analysis was to evaluate the experience of dental caries in individuals pre‐ or postliver transplant. Materials and Methods Searches in PubMed, Scopus, Web of Science, Ovid, and Lilacs from databases’ inception date up to April 2020 were undertaken. Gray literature and manual searches were also conducted. Observational studies were eligible. The retrieved references were evaluated by two independent reviewers. Meta‐analysis and risk of bias assessment using the University of Adelaide tool were conducted. The strength of the evidence was assessed with GRADE. Results The search retrieved 1990 references. Twenty‐four cross‐sectional studies were included. One subgroup analysis demonstrated no significant difference in the number of teeth with dental caries between pre‐liver transplant and healthy individuals (mean difference = 1.65, confidence interval = −0.87 to 4.17). The prevalence of dental caries among pre‐liver transplant individuals was 73.82% and in the post‐transplant individuals was 72.83%. In the included studies, the main concern regarding risk of bias was the absence of control for confounding variables. The strength of the evidence was very low. Conclusions Dental caries may be a relevant issue in pre‐ and postliver transplant individuals. Oral health counseling should be included in the care of pre‐ and/or postliver transplant individuals.

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Oral Health in Patients With Liver Diseases

Cited by 8 publications

References 4 publications

Periodontal disease and liver cirrhosis: A systematic review

Periodontal disease and liver cirrhosis: A systematic review

Can Plasma Rich in Growth Factors Expedite Healing of Postextraction Tooth Sockets in Patients Undergoing Urgent Liver Transplantation?

Is dental caries associated with liver transplantation? A systematic review and meta‐analysis

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