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Liver transplants from living related donors has been established in Japan as a treatment for patients with end-stage liver disease. Liver transplants from brain-dead donors is already a common treatment option in most developed countries. It is therefore important that most oral surgeons should be aware of clinical problems when treating such patients. We have successfully performed tooth extraction in 3 patients who had undergone liver transplantation. Careful attention was paid to the risk of infection because of life-long immunosuppression and the risk of bleeding because of liver failure.In this paper we focused on the management of patients with end-stage liver disease who underwent liver transplantation and on the role of oral surgeons as an essential part of a liver transplantation team.

nihon koukuu geka gakkai zasshi/nippon kōkū geka gakkai zasshi

Clinical study of oral management in patients with organ transplantation: Tooth extraction in patients receiving liver transplants from living related donors and brain-dead donors.