Dental Complications and Reasons for Delayed Clearance Before Hematopoietic Stem Cell Transplant

被引：0

作者：

Marija, Kelic ^{[1
]}

Nika, Kosovic ^{[1
]}

Rene, Kriz ^{[1
]}

Danica, Vidovic Juras ^{[2
,3
]}

Jankovic, Bernard ^{[2
,4
]}

Rajic, Valentina ^{[2
,4
]}

Vuletic, Marko ^{[2
,5
]}

Granic, Marko ^{[2
,5
]}

Gabric, Dragana ^{[2
,5
]}

Brailo, Vlaho ^{[2
,3
]}

机构：

[1] Univ Zagreb, Sch Dent Med, Zagreb, Croatia

[2] Univ Clin Hosp Ctr Zagreb, Clin Dent, Zagreb, Croatia

[3] Univ Zagreb, Sch Dent Med, Dept Oral Med, Zagreb, Croatia

[4] Univ Zagreb, Sch Dent Med, Dept Endodont & Restorat Dent, Zagreb, Croatia

[5] Univ Zagreb, Sch Dent Med, Dept Oral Surg, Zagreb, Croatia

来源：

ORAL DISEASES | 2025年

关键词：

complications; dental care; hematopoietic stem cell transplant; treatment delay; DESCENDING NECROTIZING MEDIASTINITIS; ORAL CARE; POSITION PAPER; ADULT PATIENTS; MANAGEMENT; INFECTION; ASSOCIATION; CONSENSUS; HEALTH; BLOOD;

D O I：

10.1111/odi.15333

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Aim Dental evaluation before hematological stem-cell transplant (HSCT) is considered a standard of care. Data on the complications of dental treatment before HSCT are scarce. The aim was to analyze the data on dental treatment in patients undergoing HSCT with an emphasis on complications and reasons for delayed dental clearance. Materials and Methods Retrospective chart review of 125 patients referred for dental evaluation before HSCT was performed. Demographic, medical, dental data, and complications were registered. Number of appointments and days required to obtain a dental clearance for HSCT were registered, as well as reasons for delayed (i.e., > 21 days) dental clearance. Results The most common procedure was tooth extraction, performed in 48 (38.4%) patients. Complications, that is, local infection and delayed healing, occurred in 2 (1.6%) patients. Most patients (104; 83.2%) obtained dental clearance for HSCT in 1-2 appointments (median 1 day). No patient experienced dental complications during the early (<= 30 days) post-transplant period. Seven (5.6%) patients had their dental clearance delayed for more than 21 days due to increased treatment needs and complex medical conditions. Conclusions Dental treatment before HSCT can be performed with an acceptable safety rate. Delayed dental clearance occurs in complex, high-risk patients with significantly increased treatment needs.

引用

页数：11

共 45 条

[1] Access to oral care before hematopoietic stem cell transplantation: understand to improve [J].