Cuidados odontológicos en el trasplante hepático pediátrico: Un reporte de caso.

  1. Nascimento Santos, Catielma 2
  2. Porta, Gilda 4
  3. L. Ortega, Karem 1
  4. Braz-Silva, Paulo Henrique 1
  5. Martins, Fabiana 1
  6. Bönecker, Marcelo 3
  1. 1 Department of Stomatology of the University of São Paulo School of Dentistry, São Paulo, Brazil.
  2. 2 Universidade Federal de Sergipe
    info

    Universidade Federal de Sergipe

    Aracaju, Brasil

    ROR https://ror.org/028ka0n85

  3. 3 Department of Paediatric Dentistry and Orthodontics of the University of São Paulo School of Dentistry, São Paulo, Brazil.
  4. 4 Hospital Infantil Menino Jesus, São Paulo, Brazil.
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Journal:
Revista de Odontopediatría Latinoamericana

ISSN: 2174-0798

Year of publication: 2024

Volume: 14

Type: Article

DOI: 10.47990/9MP6PZ34 GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de Odontopediatría Latinoamericana

Abstract

Liver transplantation is the treatment of choice for a person with end-stage liver disease. Biliary atresia is the disease with higher prevalence in children. Dental care is indispensable for the receiver of transplantation. That process avoids infection and complications. Aim: To report dental management and its relevance to the pediatric liver transplantation program. Case report: A five-year boy with BA in the liver transplantation program had the indication of dental care treatment before surgery. Oral foci of infections were seen during the oral examination. Therefore, planned procedures included dental prophylaxis, dental restorations with glass ionomer cement, and dental extractions. In this, to avoid hemorrhagic events, a hemostatic paste composed of two tranexamic acid 250 mg tablets, macerated, and mixed with 1/3 tube of anesthetic with a vasoconstrictor was used. All dental procedures included behavioral management of the child. Conclusion: Dental care for children undergoing liver transplantation aims to remove infection foci and guide the parents about the importance of oral hygiene in all stages of the process. Understanding liver disease allows the dentist to choose the ideal dental treatment, in the case of children, behavioral management is indispensable for the success of the treatment.