TDB
Important Dates

Assoc. Prof. Dr. Birsay Gümrü Tarçın

Dental Management of Patients Before and After Solid Organ Transplantation
Solid organ transplantation (SOT) is an important and established therapeutic option for treating many end-stage organ diseases and dysfunctions; however, long-term outcomes may sometimes be unsatisfactory. Occurrence of infectious complications maybe one of the reasons leading to unfavourable outcomes, and dental sources are listed among the multiple causes of such complications. The life-long obligatory immunosuppressive therapy, the standard treatment for organ recipients, increases the susceptibility to infections as well as oral side-effects.
The oral cavity, which hosts more than 700 different species of bacteria physiologically, represents an important port of entry for systemic infections, and mucosal and dental infections are potential foci for systemic infections in this vulnerable patient group. Incidents of sepsis from a dental source, episodes of a dental infection prior to transplantation that necessitated the cancellation or postponement of the transplantation surgery in transplant recipients were reported. Mucosal and dental infections may exacerbate the course of disease and may complicate not only the treatment but also the prognosis of the transplanted organ and the patient.
SOT candidates and recipients have been found to present deficits in oral health behaviour, a higher risk for/and greater prevalence of dental diseases, and also an increased need for dental treatment. Lack of preventive dental care, which, in combination with immunosuppression, leads to dental and mucosal diseases.
This presentation addresses various approaches to the provision of dental care to establish a healthy oral status for SOT candidates with end-stage disease during the pre-transplant phase, which then needs to be preserved after the transplantation.

 

Birsay Gümrü Tarçın is an Associate Professor of Oral and Maxillofacial Radiology at Marmara University, Faculty of Dentistry. After graduating from Marmara University, Faculty of Dentistry in 1999, she began pursuing her PhD degree in the Department of Oral Diagnosis and Radiology. She completed her PhD degree in 2005 and received her Associate Professor title in 2016. She currently continues researching and lecturing in the Department of Oral and Maxillofacial Radiology in Marmara University, Faculty of Dentistry.