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Brazilian dental consensus on dental management in hematopoietic stem cell transplantation – Part I – pre-HSCT

The oral involvement in the Hematopoietic Stem Cell Transplantation is well described in the literature. The goal of the dental treatment and management of the oral lesions related to the HSCT is to reduce the harm caused by preexisting oral infection or even the worsening of oral acute/chronic GVHD...

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Detalles Bibliográficos
Autores principales: Correa, Maria Elvira Pizzigati, Granzotto, Fabiana Caramori Noal, Innocentini, Lara Maria Alencar Ramos, Reis, Thiago de Carvalho, de Lima, Emilze Mafra, Varanda, Renata de Freitas, Santos, Paulo Sérgio da Silva, Junior, Luiz Alberto Valente Soares, Bezinelli, Leticia Mello, Eduardo, Fernanda de Paula, Melo, Walmyr Ribeiro, Antunes, Héliton Spíndola, De Macedo, Leandro Dorigan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Hematologia e Hemoterapia 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10499583/
https://www.ncbi.nlm.nih.gov/pubmed/37295969
http://dx.doi.org/10.1016/j.htct.2023.04.001
Descripción
Sumario:The oral involvement in the Hematopoietic Stem Cell Transplantation is well described in the literature. The goal of the dental treatment and management of the oral lesions related to the HSCT is to reduce the harm caused by preexisting oral infection or even the worsening of oral acute/chronic GVHD and late effects. The aim of this guideline was to discuss the dental management of patients subjected to HSCT, considering three phases of the HSCT: pre-HSCT, acute phase, and late phase. The literature published from 2010 to 2020 was reviewed in order to identify dental interventions in this patient population. The selected papers were divided into three groups: pre-HSCT, acute and late, and were reviewed by the SBTMO Dental Committee's members. When necessary, an expertise opinion was considered for better translating the guideline recommendations to our population dental characteristics. This manuscript focused on the pre-HSCT dental management. The objective of the pre-HSCT dental management is to identify possible dental situations that can worsening during the acute phase after the HSCT. Each guideline recommendations were made considering the Dentistry Specialties. The clinical consensus on dental management prior to HSCT provides professional health caregivers with clinical setting-specific information to help with the management of dental problems in patients to be subjected to HSCT.