Solid organ transplant patient management undergoing oral surgery: a review of literature

doi:10.5114/jos.2024.143590

Solid organ transplant patient management undergoing oral surgery: a review of literature

Q3 · DentistryImpact Factor · 0.802

AutoresCarlos Cobo-Vázquez, Luis Sánchez‐Labrador, David Vielba Dueñas, Luis Miguel Sáez-Alcaide, María Isabel Leco Berrocal, Cristina Méniz-García

Por qué importa

Este artículo revisa la literatura científica sobre el manejo de pacientes trasplantados de órganos sólidos que requieren cirugía oral, un aspecto crucial dada la relación entre especialidades y los efectos adversos de los tratamientos post-trasplante. El estudio buscó identificar pautas para la gestión de estos pacientes, considerando la medicación empleada, especialmente la profilaxis antibiótica y tratamientos para complicaciones como la hemorragia postoperatoria. A pesar de analizar datos de 784 pacientes con diversos trasplantes, la conclusión principal es la escasez de evidencia científica sólida para establecer recomendaciones claras y universales. Esta falta de directrices subraya la necesidad de una evaluación individualizada y precauciones adicionales en la práctica clínica diaria al tratar a esta población vulnerable, lo cual es de vital importancia para optimizar resultados y minimizar riesgos.

Abstract original

A relationship between various specialties and adverse effects of post-transplant treatments gives rise to a permanent search for ways to reduce these complications.Aim of the study was to investigate the guidelines for the mana gement of solid organ transplant patients after oral surgery treatment, considering medication employed.A literature review of scientific articles was carried out with systematic search.Terms used were "Oral Surgery" AND "Solid Organ Transplanted Patient" OR "Organ Transplanted".Medline, Web of Science, and Scopus databases were explored, with no time restriction and in Spanish and English languages, complemented by a manual search.A total of 162 titles were retrieved.Out of these, six underwent full data extraction and were included in analysis.Data of 784 patients, with age ranging from 18 to 80 years, and a history of liver, heart, kidney, or pancreas transplants were investigated.Patients who underwent surgical dental treatment, such as extractions, biopsies, and scaling and root planning, to which different medications were administered were considered.Antibiotic prophylaxis was the most common medication administered, in addition to other medicines applied in the treatment of complications, such as post-operative bleeding.In conclusions, there is not enough scientific evidence to establish clear and universal recommendations for the management of solid organ transplant patients after oral surgery.

Leer texto completo ↗DOI · 10.5114/jos.2024.143590

Autor Doctor&Cols

Carlos M. Cobo Vázquez
Cirugía Oral e Implantología

Cómo citar

Cobo-Vázquez C, Sánchez‐Labrador L, Dueñas DV, Sáez-Alcaide LM, Berrocal MIL, Méniz-García C. Solid organ transplant patient management undergoing oral surgery: a review of literature. Journal of Stomatology. 2024. doi:10.5114/jos.2024.143590