Oral Management of Bone Maroow and Renal Transplant Recipients

Abstract

Although serious systemic infectious diseases originating in local infectious foci can be caused by bone marrow control and immunosuppression in bone marrow transplantation (BMT) patients and renal transplantation (RT) patients, guidelines for the oral management of BMT and RT recipients have not been established. The subject population for this investigation consisted of 108 BMT patients and 109 RT patients who were referred to our clinic for oral examination during the 6 years from 1/1/2000 to 12/31/2005. In our clinic, all lesions are examined for active infectious lesions, subjective and objective symptoms are excluded by X-ray findings or are inactive infectious lesions, and expected inactive infectious lesions are assessed by intraoral and X-ray examination. Moreover, only active infectious lesions are treated and inactive lesions are observed, followed by guarded diagnosis by careful examination of lesions as to their active or inactive status. As a result, serious systemic or local infectious diseases are treated, except: a tooth with an apical lesion in which there are no other clinical symptoms, poor root canal with no other clinical symptoms, and an impacted tooth without clinical symptoms. It is important that mouth cleaning management and guidance are carried out before BMT and RT to prevent infection. Accordingly, these guidelines are presented for oral management and prevention of infection in both BMT and RT recipients.