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 Table of Contents  
LETTER TO EDITOR
Year : 2015  |  Volume : 12  |  Issue : 6  |  Page : 596

Oral manifestations in liver transplant recipients


Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Yenepoya Research Centre, Yenepoya University, Mangalore, Karnataka, India

Date of Web Publication27-Nov-2015

Correspondence Address:
Vagish Kumar Laxman Shanbhag
Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Yenepoya Research Centre, Yenepoya University, Mangalore - 575 018, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1735-3327.170589

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How to cite this article:
Shanbhag VL. Oral manifestations in liver transplant recipients. Dent Res J 2015;12:596

How to cite this URL:
Shanbhag VL. Oral manifestations in liver transplant recipients. Dent Res J [serial online] 2015 [cited 2022 Aug 18];12:596. Available from: https://www.drjjournal.net/text.asp?2015/12/6/596/170589

Editor,

The article "oral manifestation in transplant patients" was read with enthusiasm. [1] However, the following points may be noted worthy. Fissured tongue, atrophy of tongue papillae, and angular cheilitis can be observed in liver transplant patients and these may be due to concurrent hyposalivation, due to intake of diuretic drugs such as thiazides and loop diuretics. [2],[3] Excessive bleeding with serious complications are encountered in the liver transplant patients when they undergo simple procedures such as scaling, tooth extraction, minor periodontal surgery, and administration of local anesthetics. [4] These patients exhibit hemostatic abnormalities such as prolonged prothrombin time, activated partial thromboplastin time; increased international normalized ratio and low platelet count. Primary wound closure, Vitamin K 10 mg intramuscularly, and use of topical thrombin and fibrin glue along with antifibrinolytic agents such as oxidized cellulose tranexamic acid and amino-caproic acid may be helpful to control oral bleeding due to dental procedures. [4]

Financial support and sponsorship

Nil.

Conflicts of interest

The authors of this manuscript declare that they have no conflicts of interest, real or perceived, financial or non-financial in this article.

 
  References Top

1.
Nappalli D, Lingappa A. Oral manifestations in transplant patients. Dent Res J (Isfahan) 2015;12:199-208.  Back to cited text no. 1
    
2.
Rojas G, Bravo L, Cordero K, Sepúlveda L, Elgueta L, Díaz JC, et al. Integrity of the oral tissues in patients with solid-organ transplants. J Transplant 2012;2012:603769.  Back to cited text no. 2
    
3.
Guggenheimer J, Close JM, Eghtesad B, Shay C. Characteristics of oral abnormalities in liver transplant candidates. Int J Organ Transplant Med 2010;1:107-13.  Back to cited text no. 3
    
4.
Silva Santos PS, Fernandes KS, Gallottini MH. Assessment and management of oral health in liver transplant candidates. J Appl Oral Sci 2012;20:241-5.  Back to cited text no. 4
    




 

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