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Vorstandlechner M, Obermeier KT, Schneider CP, Fertmann JM, Smolka W, Michel S, Veit T, Irlbeck M, Tomasi R, Hatz RA, Kauke T. Influence of dental status on outcome after lung transplantation. Oral Dis 2024; 30:1614-1621. [PMID: 36939725 DOI: 10.1111/odi.14569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 02/25/2023] [Accepted: 03/15/2023] [Indexed: 03/21/2023]
Abstract
INTRODUCTION Poor oral hygiene can cause infections and inflammatory diseases. Data on its impact on outcome after lung transplantation (LuTX) is scarce. Most transplant centers have individual standards regarding dental care as there is no clinical guideline. This study's objective was to assess LuTX-listed patient's dental status and determine its effect on postoperative outcome. METHODS Two hundred patients having undergone LuTX from 2014 to 2019 were selected. Collected data comprised LuTX-indication, periodontal status, and number of carious teeth/fillings. A preoperative panoramic dental X-ray and a dentist's consultative clarification were mandatory. RESULTS 63.5% had carious dental status, differing significantly regarding TX-indication (p < 0.001; ILD: 41.7% vs. CF: 3.1% of all patients with carious teeth). Mean age at the time of LuTX differed significantly within these groups. Neither preoperative carious dental status nor periodontitis or bone loss deteriorated post-LuTX survival significantly. No evidence was found that either resulted in a greater number of deaths related to an infectious etiology. CONCLUSION This study shows that carious dental status, periodontitis, and bone loss do not affect post-TX survival. However, literature indicates that they can cause systemic/pulmonary infections that deteriorate post-LuTX survival. Regarding the absence of standardized guidelines regarding dental care and LuTX, we strongly recommend emphasizing research in this field.
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Affiliation(s)
| | - Katharina T Obermeier
- Department of Oral & Maxillofacial Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Christian P Schneider
- Division of Thoracic Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany
| | - Jan M Fertmann
- Division of Thoracic Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Wenko Smolka
- Department of Oral & Maxillofacial Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Sebastian Michel
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany
- Department of Cardiac Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Tobias Veit
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Department of Internal Medicine V - Pneumology, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Michael Irlbeck
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Department of Anesthesiology, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Roland Tomasi
- Department of Anesthesiology, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
| | - Rudolf A Hatz
- Division of Thoracic Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany
| | - Teresa Kauke
- Division of Thoracic Surgery, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Transplantation Center Munich (LMU), LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany
- Comprehensive Pneumology Center Munich, German Center for Lung Research (DZL), Munich, Germany
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Saeki S, Kurosawa Y, Tomiyama K. Japan Coma Scale and the Disorientation of the Nervous System. J Epidemiol 2023; 33:543. [PMID: 36155362 PMCID: PMC10483102 DOI: 10.2188/jea.je20220247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 09/06/2022] [Indexed: 11/18/2022] Open
Affiliation(s)
- Soichiro Saeki
- Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan
| | - Yohei Kurosawa
- Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan
| | - Koichiro Tomiyama
- Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan
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Baba Y, Takada S, Kato Y. In Reference to Risk Perception of Septic Shock with Multiple Organ Failure Due to Acute Exacerbation of an Infectious Dental Disease [Letter]. Ther Clin Risk Manag 2021; 17:1163-1164. [PMID: 34764652 PMCID: PMC8575448 DOI: 10.2147/tcrm.s342486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 10/27/2021] [Indexed: 11/23/2022] Open
Affiliation(s)
- Yuh Baba
- Department of Otorhinolaryngology, Ohu University Dental Hospital, Koriyama City, Fukushima, 963-8611, Japan
| | - Satoshi Takada
- Department of Oral and Maxillofacial Surgery, Ohu University Dental Hospital, Koriyama City, Fukushima, 963-8611, Japan
| | - Yasumasa Kato
- Department of Oral Function and Molecular Biology, Ohu University School of Dentistry, Koriyama City, Fukushima, 963-8611, Japan
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