title: Dental care and oral health in solid organ transplant recipients: a single center cross-sectional study and survey of German transplant centers.
abstract: Aim of this study was to collect information about oral health of patients before and after SOT as well as information about center-based recommendations for dental care. In a single center cross-sectional study, the oral situation of 20 patients before and 20 after SOT were examined including dental (DMF-T), periodontal (PSR(®)/PSI), and oral hygiene findings (modified QHI). In a second project, a survey among 50 transplant centers in Germany was questioned regarding their recommendations for dental care of SOT recipients. Patients before and after SOT showed similar quality of dental findings (DMF-T), but worse compared to the general population. In addition, most patients in both groups showed pronounced periodontal treatment need (PSR(®)/PSI score 3 or 4). Oral hygiene findings (modified QHI) after SOT were significantly worse than in patients on the waiting list (P = 0.032). In a second project, the questionnaire was returned by 28 of 50 centers. Interpretation of data showed that 89% carry out a dental examination before SOT and 67% contacted the patients' dentists. After SOT, 83% of the transplant centers recommend antibiotic cover before dental measures. The results of our study revealed lacks in the dental care of SOT recipients. Consistent recommendations regarding the dental care of patients before and after SOT should be determined.
authors: Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Goettingen, Goettingen, Germany. dirk.ziebolz@med.uni-goettingen.de
authors: Dirk
authors: D
authors: Ziebolz
authors: Valentina
authors: V
authors: Hraský
authors: Armin
authors: A
authors: Goralczyk
authors: Else
authors: E
authors: Hornecker
authors: Aiman
authors: A
authors: Obed
authors: Rainer F
authors: RF
authors: Mausberg
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003430:Cross-Sectional Studies; D003729:Dental Care / Q000379:methods; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene; D016377:Organ Transplantation / Q000009:adverse effects*; D010510:Periodontal Diseases / Q000209:etiology / Q000628:therapy; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents