Podcast
Questions and Answers
Poor oral hygiene is a common dental finding in patients with what condition?
Poor oral hygiene is a common dental finding in patients with what condition?
- Vitamin D deficiency
- Iron deficiency
- Liver disease due to alcoholic cirrhosis (correct)
- Osteoporosis
What is the appropriate recall interval for a patient with stable chronic liver disease?
What is the appropriate recall interval for a patient with stable chronic liver disease?
- 6 months (correct)
- 9 months
- 15 months
- 12 months
Delayed tooth eruption can be a dental aspect for children with what?
Delayed tooth eruption can be a dental aspect for children with what?
- Lung disease
- Heart defects
- Kidney transplants
- Liver transplants (correct)
What is a common recommendation for patients with liver disease regarding dental treatment?
What is a common recommendation for patients with liver disease regarding dental treatment?
What does OHI stand for in the context of dental management?
What does OHI stand for in the context of dental management?
Which dental issue is commonly associated with dental neglect?
Which dental issue is commonly associated with dental neglect?
Which of the following is a key aspect of dental management for patients, especially after organ transplant?
Which of the following is a key aspect of dental management for patients, especially after organ transplant?
What is a frequent recommendation to improve dental health?
What is a frequent recommendation to improve dental health?
Gingival enlargement may occur if a patient is taking what type of medication after a liver transplant?
Gingival enlargement may occur if a patient is taking what type of medication after a liver transplant?
What oral health advice will improve quality of life?
What oral health advice will improve quality of life?
A patient with liver disease may have difficulty metabolizing which medication?
A patient with liver disease may have difficulty metabolizing which medication?
Sialosis refers to enlargement of which glands?
Sialosis refers to enlargement of which glands?
What is a potential risk in dental management of patients with liver problems?
What is a potential risk in dental management of patients with liver problems?
What should staff be vaccinated against in a dental practice?
What should staff be vaccinated against in a dental practice?
When taking universal precautions for infection control for dental treatment what do you need to consider?
When taking universal precautions for infection control for dental treatment what do you need to consider?
What dietary advice should be given to a patient with poor oral hygiene?
What dietary advice should be given to a patient with poor oral hygiene?
Dental patients will benefit from which preventative measure?
Dental patients will benefit from which preventative measure?
If a liver transplant patient is taking life-long immunosuppressants, what is the increased risk?
If a liver transplant patient is taking life-long immunosuppressants, what is the increased risk?
Which is a cause of dental neglect?
Which is a cause of dental neglect?
When managing medications on a liver disease patient what do you need to consider?
When managing medications on a liver disease patient what do you need to consider?
Flashcards
Dental Neglect
Dental Neglect
The neglect of oral hygiene, leading to a build-up of plaque and calculus.
Sialosis
Sialosis
Swelling of the parotid salivary glands.
Gingival Overgrowth
Gingival Overgrowth
Excessive growth of gingival tissue, often covering the teeth.
Alcoholic Cirrhosis
Alcoholic Cirrhosis
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Dental Management in Liver Disease
Dental Management in Liver Disease
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Post-Liver Transplant Considerations
Post-Liver Transplant Considerations
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Anesthesia and Analgesics
Anesthesia and Analgesics
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Dental Management Strategies
Dental Management Strategies
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Infection Control
Infection Control
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Study Notes
Dental Aspects of Liver Disease
- Alcoholic cirrhosis often results in poor oral hygiene, dental neglect and dental erosion from gastric reflux.
- Sialosis/parotid enlargement can occur.
- Gingival enlargement may occur if a patient is taking ciclosporin after a liver transplant.
- Children needing liver transplants may experience delayed tooth eruption and discolored/hypoplastic teeth.
Dental Neglect
- Characteristics of dental neglect include:
- Neglect.
- Poor oral hygiene (OH).
- An increase in caries.
- An increase in inflammation/periodontal disease.
- Lack of professional dental care.
Dental Management Considerations
- Liver disease can cause:
- Increased bleeding risk.
- Risk of poor wound healing and infection.
- Problems metabolizing drugs.
Dental Infection Management
- Infection control using universal precautions along with staff vaccination against Hep B is essential.
- Patients undergoing liver transplants who are taking life-long immunosuppressants have an increased risk of infection.
- Antibiotic cover may be necessary for invasive treatment.
- Elective dental treatment should be avoided for six months post-transplant.
Further Considerations
- The dose of local anaesthetic (LA) should be reduced.
- Articaine can be used instead of Lidocaine.
- The use of NSAIDs should be avoided.
- There may be inability to metabolize certain drugs including the antibiotic Tetracycline.
Additional Dental Management Strategies
- Prevention is key.
- OHI (Oral Hygiene Instructions) +++ is necessary.
- Diet analysis and advice should be provided.
- Fluoride supplements can be beneficial.
- Alcohol cessation is recommended.
- Smoking cessation is recommended.
Summary
- Main points:
- Functions of the liver.
- Main cases and symptoms of liver disease.
- Dental implications.
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