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Association of time under immunosuppression and different immunosuppressive medication on periodontal parameters and selected bacteria of patients after solid organ transplantation

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Association of time under immunosuppression and different immunosuppressive medication on periodontal parameters and selected bacteria of patients after solid organ transplantation

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dc.contributor.author Schmalz, Gerhard es
dc.contributor.author Berisha, Lisa es
dc.contributor.author Wendorff, Horst es
dc.contributor.author Widmer, Florian es
dc.contributor.author Marcinkowski, Anna es
dc.contributor.author Teschler, Helmut es
dc.contributor.author Sommerwerck, Urte es
dc.contributor.author Haak, Rainer es
dc.contributor.author Kollmar, Otto es
dc.contributor.author Ziebold, Dirk es
dc.date.accessioned 2018-05-28T10:45:23Z
dc.date.available 2018-05-28T10:45:23Z
dc.date.issued 2018 es
dc.identifier.citation Schmalz, Gerhard ; Berisha, Lisa ; Wendorff, Horst ; Widmer, Florian ; Marcinkowski, Anna ; Teschler, Helmut ; Sommerwerck, Urte ; Haak, Rainer ; Kollmar, Otto ; Ziebold, Dirk. Association of time under immunosuppression and different immunosuppressive medication on periodontal parameters and selected bacteria of patients after solid organ transplantation. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 23 3 2018: 12- es
dc.identifier.uri http://hdl.handle.net/10550/66442
dc.description.abstract Aim of this study was to investigate the association of the time under immunosuppression and different immunosuppressive medication on periodontal parameters and selected periodontal pathogenic bacteria of immunosuppressed patients after solid organ transplantation (SOT). 169 Patients after SOT (lung, liver or kidney) were included and divided into subgroups according their time under (0-1, 1-3, 3-6, 6-10 and >10 years) and form of immunosuppression (Tacrolimus, Cyclosporine, Mycophenolate, Glucocorticoids, Sirolimus and monotherapy vs. combination). Periodontal probing depth (PPD) and clinical attachment loss (CAL) were assessed. Periodontal disease severity was classified as healthy/mild, moderate or severe periodontitis. Subgingival biofilm samples were investigated for eleven selected potentially periodontal pathogenic bacteria using polymerasechainreaction. The mean PPD and CAL as well as prevalence of Treponema denticola and Capnocytophaga species was shown to be different but heterogeneous depending on time under immunosuppression (p<0.05). Furthermore, only the medication with Cyclosporine was found to show worse periodontal condition compared to patients without Cyclosporine (p<0.05). Prevalence of Porphyromonas gingivalis, Tannerella forsythia and Fusobacterium nucleatum was reduced and prevalence of Parvimonas micra and Capnocytophaga species was increased in patients under immunosuppression with Glucocorticoids, Mycophenolate as well as combination therapy. Time under and form of immunosuppression might have an impact on the clinical periodontal and microbiological parameters of patients after SOT. Patients under Cyclosporine medication should receive increased attention. Differences in subgingival biofilm, but not in clinical parameters were found for Glucocorticoids, Mycophenolate and combination therapy, making the clinical relevance of this finding unclear. es
dc.title Association of time under immunosuppression and different immunosuppressive medication on periodontal parameters and selected bacteria of patients after solid organ transplantation es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.22238 es
dc.type.hasVersion VoR es_ES

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