| Abstract;Dental treatment before liver transplantation was administered to a five-year, three-month-old girl and a four-year, three-month-old boy. In the literature it was difficult to find a suitable course of treatment for dental caries before the operation. We therefore present a protocol for dentists facing similar cases. Infection from the teeth is the most important complication to be avoided. In consultation with endodontists and anesthesiologists, we decided to extract carious teeth with pulp exposure and to give antibiotics for one day. 1) In the first case, amalgam alloy restorations were placed in right upper D, E,left upper E,and right lower D, E,left lower D, E under a rubber dam, and right upper A, B,left upper A, D,and right lower A-C,left lower A-C were extracted under 40% N2O in the two months prior to the operation. To insure hemostasis, we used sutures and a surgical splint with a periodontal pack for a week. 2) Amalgam alloy restorations were placed in upper D, D, and lower D, D in case 2. We advised the patient's mother to get in touch with us immediately if much bleeding, colic, gray feces, fever, or jaundice appeared. After being subjected to the foregoing dental treatment, our patients received liver transplantations, maintained effective oral hygiene procedures, and are doing fine. (author abst.) |
