Oral findings and dental behaviour before and after liver transplantation a single-centre cross-sectional studyAuthorsAnne Kauffels,Gerhard Schmalz,Otto Kollmar,Jan E. Slotta,Michael Weig,Uwe Gro,Oliver Bader,Dirk ZiebolzAbstractObjectiveThe aim of this single-centre, cross-sectional study was to evaluate dental, periodontal and mycological findings, as well as oral behaviour, in patients before (pre-LTx) and after (post-LTx) liver transplantation.MethodsA total of 47 patients pre-LTx and 119 patients post-LTx were asked to participate. Oral health behaviour was assessed using a standardised questionnaire. Oral examinations included dental [decayed, missing and filled teeth (DMFT) index] and periodontal [papillary bleeding index (PBI), periodontal probing depth (PPD) and clinical attachment loss (CAL)] findings. For Candidascreening, swabs from the oral mucosa were cultured. Statistical analysis was performed using the Student's t-test or the MannWhitney U-test, depending on whether or not the data followed a normal distribution; Fisher's exact test was also performed. The significance level was = 5%.ResultsA total of 110 patients were included (pre-LTx, n = 35; post-LTx, n = 75). Different patients were investigated in the post-LTx and pre-LTx groups. Lack of use of supplemental oral-hygiene aids was noted. Between-group comparisons failed to find significant overall differences in DMFT and periodontal status. The post-LTx group showed fewer decayed teeth (P = 0.03). A total of 86% of patients pre-LTx and 84% of patients post-LTx were found to need dental treatment, and 60% of patients pre-LTx and 55% of patients post-LTx showed a need for periodontal treatment. The prevalence of Candida albicans was high; however, there were no statistically significant differences between the groups in regard to fungal infection.ConclusionImproved dental care pre- and post-transplant, including screening for fungal infections, is recommended to avoid systemic infections in LTx patients. Increased attention to oral health care, and interdisciplinary collaboration to provide guidance, is needed to improve the oral health of patients before and after LTx.http://onlinelibrary.wiley.com/doi/10.1111/idj.12290/full Caros colegas,Este ano o Congresso Luso- Brasileiro tera lugar no Porto, de 13 a 15 de Outubro.Sera um prazer recebe-los nesta bela e historica cidade do Norte de Portugal, para mais uma vez nos reencontrarmos e estreitar os lacos que nos unem desde ha 15 anos.Teremos um programa muito preenchido que abordara temas atuais e polemicos e temas que nao sendo novos nos preocupam no dia a dia da transplantacao.Comecaremos o Congresso pela apresentacao do estado atual da transplantacao apresentado pelas tres Sociedades de Transplantacao como forma de divulgar as nossas atividades e resultados.A doacao em vida e os problemas eticos associados, focando o dador altruista, como tema polemico que e, merecera com certeza da vossa parte, todo o interesse.Uma das manhas sera dedicado a infeccao. Focaremos os problemas que enfrentamos na nossa pratica clinica como as infeccoes multirresistentes e infeccoes fungicas.Os novos farmacos disponiveis para o tratamento da hepatite C e o seu impacto no transplante sera tambem do vosso interesse.Contaremos com convidados nacionais e internacionais que com certeza contribuirao, para o que esperamos, seja o sucesso do nosso congresso.As comunicacoes orais e breves continuarao a ser um ponto alto e que mostrara a atividade desenvolvida pelas varias unidades sendo um sinal de participacao ativa!Para alem do programa cientifico com certeza