Podcast
Questions and Answers
What dental condition is commonly associated with alcoholic cirrhosis?
What dental condition is commonly associated with alcoholic cirrhosis?
What is a potential consequence of liver transplant on dental health?
What is a potential consequence of liver transplant on dental health?
In patients with sialosis, what dental condition might be observed?
In patients with sialosis, what dental condition might be observed?
What precaution should be taken when providing dental care to a patient with a liver transplant?
What precaution should be taken when providing dental care to a patient with a liver transplant?
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Which medication should be avoided in liver disease patients due to metabolism issues?
Which medication should be avoided in liver disease patients due to metabolism issues?
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What is a common dental finding in children who require liver transplants?
What is a common dental finding in children who require liver transplants?
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What is crucial for the dental management of patients with liver disease?
What is crucial for the dental management of patients with liver disease?
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What is the primary dental concern associated with poor oral hygiene in liver disease?
What is the primary dental concern associated with poor oral hygiene in liver disease?
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Which patient lifestyle change should be advised to improve dental health post-liver disease?
Which patient lifestyle change should be advised to improve dental health post-liver disease?
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What is a significant risk for dental procedures in patients with liver disease?
What is a significant risk for dental procedures in patients with liver disease?
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Study Notes
Dental Aspects in Liver Disease
- Alcoholic cirrhosis: Often associated with poor oral hygiene, dental neglect, and dental erosion from gastric reflux.
- Sialosis/parotid enlargement: May occur.
- Gingival enlargement: Can happen if a patient takes ciclosporin after a liver transplant.
- Delayed tooth eruption and discoloured/hypoplastic teeth: Potential issue in children needing liver transplants.
Dental Neglect
- Neglect: A factor.
- Poor oral hygiene (OH): A factor.
- Increased caries: A consequence of poor oral hygiene.
- Increase in inflammation/periodontal disease: A consequence of poor oral hygiene.
- Lack of professional dental care: A factor.
Sialosis
- A condition presented on the slide with a photo illustration.
Gingival Overgrowth
- A condition presented on the slide with a photo illustration.
Dental Management in Liver Disease
- Increased bleeding risk: A consideration.
- Risk of poor wound healing and infection: A concern due to weakened immune system associated with liver disease.
- Problems metabolising drugs: Impacts drug selection and dosages.
- Infection control: Universal precautions, staff vaccination against Hep B.
- Immunosuppressants: If liver transplant, patient will be on life-long immunosuppressants, this increases infection risk.
Further Considerations for Dental Management
- Reducing local anaesthetic dosage: Possibly required.
- Use Articaine instead of Lidocaine: Alternative local anaesthetic option.
- Avoid NSAIDs: Not recommended due to potential impacts from metabolization issues.
- Drug Metabolism: Patient might not metabolize certain drugs (e.g., Tetracycline) effectively.
- Elective dental treatment: Avoid until six months after liver transplant.
Dental Management - Prevention
- Prevention: Crucial.
- Oral hygiene instructions (OHI +++): Enhancement needed.
- Diet analysis and advice: Required for improved oral health.
- Fluoride supplements: Can be beneficial.
- Alcohol cessation: Important for oral health.
- Smoking cessation: Essential for oral health.
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Description
Explore the intricate relationship between dental health and liver disease, including conditions such as alcoholic cirrhosis and its impact on oral hygiene. This quiz covers dental neglect, sialosis, gingival overgrowth, and the special considerations needed for dental management in patients with liver issues.
