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Dental considerations in patients with liver disease

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Dental considerations in patients with liver disease

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dc.contributor.author Cruz Pamplona, Marta es
dc.contributor.author Margaix Muñoz, María es
dc.contributor.author Sarrión Pérez, María Gracia es
dc.date.accessioned 2016-06-20T07:09:30Z
dc.date.available 2016-06-20T07:09:30Z
dc.date.issued 2011 es
dc.identifier.citation Cruz Pamplona, Marta ; Margaix Muñoz, María ; Sarrión Pérez, María Gracia. Dental considerations in patients with liver disease. En: Journal of Clinical and Experimental Dentistry, 2011, Vol. 3, No. 2: 127-134 es
dc.identifier.uri http://hdl.handle.net/10550/54097
dc.description.abstract Introduction: Liver diseases are very common, and the main underlying causes are viral infections, alcohol abuse and lipid and carbohydrate metabolic disorders. The liver has a broad range of functions in maintaining homeostasis and health, and moreover metabolizes many drug substances. Objective: An update is provided on the oral manifestations seen in patients with viral hepatitis, alcoholic and non-alcoholic liver disease, cirrhosis and hepatocellular carcinoma, and on the dental management of such patients. Material and methods: A Medline-PubMed search was conducted of the literature over the last 15 years using the keywords: “hepatitis”, “alcoholic hepatitis”, “fatty liver”, “cirrhosis” and “hepatocellular carcinoma”. A total of 28 articles were reviewed, comprising 20 literature reviews, a clinical guide, three clinical trials and four case series. Results: Oral clinical manifestations can be observed reflecting liver dysfunction, such as bleeding disorders, jaundice, foetor hepaticus, cheilitis, smooth tongue, xerostomia, bruxism and crusted perioral rash. In the case of infection caused by hepatitis C virus (HCV), the most frequent extrahepatic manifestations mostly affect the oral region in the form of lichen planus, xerostomia, Sjögren’s syndrome and sialadenitis. The main complications of the patient with liver disease are risk of contagion (for healthcare personnel and other patients), the risk of bleeding and the risk of toxicity due to alteration of the metabolism of certain drugs en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Dental considerations in patients with liver disease es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES

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