Pre-liver transplant protocols in dentistry

The number of adults with end stage liver disease in the U. S., awaiting liver transplantation, has maintained a steady upward trend in recent years. Concurrently, the survival rate of liver transplant recipients has also been on the rise. To be able to safely treat this population, dentists should have familiarity with special management requirements of patients with end stage liver disease. This article reviews the historical background on liver transplantation and provides updated information on indications and evaluation protocols, treatment considerations in end stage liver disease, clinical dental management protocols prior to surgical procedures and dental considerations in the pre liver transplant candidates. (Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:426 430)