Journal of Japanese Society of Oral Medicine
Online ISSN : 2186-6155
Print ISSN : 2186-6147
ISSN-L : 2186-6147
Review
Oral Complications after Hematopoietic Stem Cell Transplantation
Tsuyoshi MUTAToshiko FUTATSUKIKoichi AKASHISeiji NAKAMURA
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2013 Volume 19 Issue 2 Pages 35-47

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Abstract
The procedure of hematopoietic stem cell transplantation (HSCT) has potential to cure the hematological malignancies, based on high-dose chemoradiotherapy and allogeneic immunological effect. However, the conditioning regimen causes oral mucositis (OM) during the early periods. Methotrexate is used for the prophylaxis of acute graft-versus-host disease (GVHD), which also deteriorates the severity of OM. The immunocompromised state induces the odontogenic infections, which sometimes resulted in systemic infections. After the engraftment of neutrophil, chronic GVHD frequently affects the oral cavity, and the symptoms of dryness and soreness usually prolong throughout the lifespan. We reviewed the mechanisms and the management of oral complications after HSCT, and hope to make the progress of the mutual medical associations.
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© 2013 Japanese Society of Oral Medicine
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