Liver Disease Dental Aspects PDF
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Uploaded by HandierMemphis
LSBU
Rhona Mann
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Summary
This presentation covers various dental aspects linked to liver disease, including poor oral hygiene, certain dental conditions in patients with liver disease and related management approaches. It also includes prevention strategies and further information resources.
Full Transcript
Dental Aspects Dental ,ndings in liver disease Alcoholic cirrhosis – o+en poor OH, dental neglect, dental erosion from gastric re8ux Sialosis/paro=d enlargement Gingival enlargement if pa=ent is taking ciclosporin a+er liver transplant Children needing liver transplants may have delaye...
Dental Aspects Dental ,ndings in liver disease Alcoholic cirrhosis – o+en poor OH, dental neglect, dental erosion from gastric re8ux Sialosis/paro=d enlargement Gingival enlargement if pa=ent is taking ciclosporin a+er liver transplant Children needing liver transplants may have delayed tooth erup=on and discoloured/hypoplas=c teeth Dental neglect Neglect Poor OH Increase in caries Increase in in8amma=on/periodontal disease Lack of professional dental care Sialosis Gingival overgrowth Dental management Increased bleeding risk Risk of poor wound healing and infec=on Problems metabolising drugs Dental management Infec=on control – universal precau=ons, staJ should be vaccinated against Hep B If liver transplant, pa=ent will be taking life-long immunosuppressants, increasing risk of infec=on – may need an=bio=c cover for invasive treatment Avoid elec=ve dental treatment un=l six months a+er 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 Preven9on, preven9on, preven9on OHI +++ Diet analysis and advice Fluoride supplements Alcohol cessa=on Smoking cessa=on Summary Func=ons of the liver Main causes of liver disease Symptoms of liver disease Dental implica=ons Further informa9on Waugh, A. and Grant, A. (2018) Ross & Wilson Anatomy And Physiology In Health And Illness. 13th ed. Elsevier. pp361-364 Hepa==s – all 5 forms of viral hepa==s (rapid review) h^ps://www.youtube.com/watch?v=MvxMJGfPp6w Bri=sh Liver Trust h^ps://bri=shlivertrust.org.uk/ NHS Liver Disease h^ps://www.nhs.uk/condi=ons/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
