Liver Disease Dental Aspects PDF

Dental Aspects Dental findings in liver disease Alcoholic cirrhosis – often poor OH, dental neglect, dental erosion from gastric reflux Sialosis/parotid enlargement Gingival enlargement if patient is taking ciclosporin after liver transplant Children needing liver transplants may have...

Dental Aspects Dental findings in liver disease Alcoholic cirrhosis – often poor OH, dental neglect, dental erosion from gastric reflux Sialosis/parotid enlargement Gingival enlargement if patient is taking ciclosporin after liver transplant Children needing liver transplants may have delayed tooth eruption and discoloured/hypoplastic teeth Dental neglect Neglect Poor OH Increase in caries Increase in inflammation/periodontal disease Lack of professional dental care Sialosis Gingival overgrowth Dental management Increased bleeding risk Risk of poor wound healing and infection Problems metabolising drugs Dental management Infection control – universal precautions, staff should be vaccinated against Hep B If liver transplant, patient will be taking life-long immunosuppressants, increasing risk of infection – may need antibiotic cover for invasive treatment Avoid elective dental treatment until six months after transplant  What else do we need to consider? Reducing dose of LA? Use Articaine instead of Lidocaine Avoid use of NSAIDS May not be able to metabolize certain drugs including antibiotic: Tetracycline Dental management Prevention, prevention, prevention OHI +++ Diet analysis and advice Fluoride supplements Alcohol cessation Smoking cessation Summary Functions of the liver Main causes of liver disease Symptoms of liver disease Dental implications Further information Waugh, A. and Grant, A. (2018) Ross & Wilson Anatomy And Physiology In Health And Illness. 13th ed. Elsevier. pp361-364 Hepatitis – all 5 forms of viral hepatitis (rapid review) https://www.youtube.com/watch?v=MvxMJGfPp6w British Liver Trust https://britishlivertrust.org.uk/ NHS Liver Disease https://www.nhs.uk/conditions/liver-disease/ Thankyou for your attention! If there is anything you wish to discuss please email me. I am more than happy to help! A short assessment will follow. Rhona Mann EDHEC Tutor Hygienist