Value of Dental and Peridontal Focus Treatment before Organ Transplantation and Valvular Prosthesis Implants

Introduction: Indeed, before performing organ transplants and valvular prostheses, the prophylactic clarification and therapy of the patients concerning existing inflammatory dental foci are recommended, but not indisputable as a standard procedure. In the following, an appraisal of the necessity of dental and oral surgical procedures should be given. Method: Data of 204 patients (w:89 / m:115) with an average age of 58 years were evaluated with regard to the necessity of dental and periodontal treatment before receiving renal (NT), heart (HT) or liver transplants (LT) and valvular prostheses (HK). Results: The account of the dental extractions or apicectomy per patient was on an average of 2 to 5 teeth with NT (0-7 teeth), HT (0-5 teeth), LT (1-5 teeth) and HK (1-10). A periodontal therapy was necessary in 64% of these patients. A total of 70% of the patients, planed to receive HT, LT and HK, needed dental - surgical treatment compared with 84% of patients before NT. Conclusion: Just in dental - surgical field, a renovation of the dental status must been often performed not to endanger the success of transplants later on. With the astonishingly high dental treatment need of the presented groups, dental screening, therapy and admission to a follow-up program are recommended urgently.