Influence of dental status on outcome after lung transplantation.
Introduction: Poor oral hygiene can cause infections and inflammatory diseases. Data on its impact on outcome after lung transplantation (LuTX) is scarce. Most transplant centers have individual standards regarding dental care as there is no clinical guideline. This study's objective was to assess L...
| Published in: | Oral Diseases Vol. 30; no. 3; pp. 1614 - 1622 |
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| Main Authors: | , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177191320&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177191320 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1354523X DZP jtl: Oral Diseases issn: 1354523X maglogo: Y pubinfo: dt: Apr2024 vid: 30 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 177191320 162865003 177191320 177191320 10.1111/odi.14569 177191320 ppf: 1614 ppct: 8 formats: tig: atl: Influence of dental status on outcome after lung transplantation. aug: au: Vorstandlechner, Maximilian Obermeier, Katharina T. Schneider, Christian P. Fertmann, Jan M. Smolka, Wenko Michel, Sebastian Veit, Tobias Irlbeck, Michael Tomasi, Roland Hatz, Rudolf A. Kauke, Teresa affil: Division of Thoracic Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany sug: subj: Outcome Assessment Lung Transplantation Oral Health Evaluation Human Dental Caries Age Factors Radiography, Panoramic Periodontitis Alveolar Bone Loss Cystic Fibrosis Lung Diseases, Interstitial Academic Medical Centers Germany Germany Retrospective Design Prospective Studies Survival Analysis Male Female Adult Middle Age Aged Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: Poor oral hygiene can cause infections and inflammatory diseases. Data on its impact on outcome after lung transplantation (LuTX) is scarce. Most transplant centers have individual standards regarding dental care as there is no clinical guideline. This study's objective was to assess LuTX‐listed patient's dental status and determine its effect on postoperative outcome. Methods: Two hundred patients having undergone LuTX from 2014 to 2019 were selected. Collected data comprised LuTX‐indication, periodontal status, and number of carious teeth/fillings. A preoperative panoramic dental X‐ray and a dentist's consultative clarification were mandatory. Results: 63.5% had carious dental status, differing significantly regarding TX‐indication (p < 0.001; ILD: 41.7% vs. CF: 3.1% of all patients with carious teeth). Mean age at the time of LuTX differed significantly within these groups. Neither preoperative carious dental status nor periodontitis or bone loss deteriorated post‐LuTX survival significantly. No evidence was found that either resulted in a greater number of deaths related to an infectious etiology. Conclusion: This study shows that carious dental status, periodontitis, and bone loss do not affect post‐TX survival. However, literature indicates that they can cause systemic/pulmonary infections that deteriorate post‐LuTX survival. Regarding the absence of standardized guidelines regarding dental care and LuTX, we strongly recommend emphasizing research in this field. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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