Dental Management of the Organ Transplant Patients

Every year, more than 28,000 transplantation procedures are performed in the United States to replace solid organs, including the heart, intestine, kidney, liver, lung, and pancreas. Patients with conditions including end-stage renal disease, severe diabetes, advanced heart disease, and liver disease may undergo transplant procedures. Because advances in medical techniques and drug therapy have extended lives of organ transplant recipients, you may treat some of these patients in your practice.

 Organ transplant patients need specialized dental care. The compromised health and immune system of patients place them at increased risk for systemic as well as oral infections. This fact must be considered when planning dental treatment before and after transplantation and requires consultation with your patient’s physician.

Babies & Dental Hygiene

Dental hygiene should begin shortly after a child is born. A newborn oral care is important to maintain clean and healthy gums. After every feeding a clean, warm wash cloth should be used to gently cleanse the inside of the mouth. 

Thrush, a treatable fungal infection caused by Candida (yeast), often appears in areas of the mouth that may have torn tissue, caused by the constant sucking on a pacifier, bottle, or during breastfeeding. The tiny tears remain moist and, if not removed manually, the yeast may cause the painful condition. Signs of thrush include:

•     White patches that appear to coat the tongue, inside tissue of the cheek, and gums
•     Irregular-shaped patches that are not able to be wiped away, sticking to the tissue
•     Pain when feeding or using a pacifier

If left untreated, a nursing mother may develop thrush on her breast, although is not typically considered contagious. See your doctor or dentist and he may prescribe a medication to clear up the infection.