{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:02:41Z","timestamp":1788397361016,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T00:00:00Z","timestamp":1499040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To evaluate oral health conditions in pediatric liver transplant recipients, with special focus on caries, green staining of the teeth, gingival bleeding, and gingival overgrowth. 40 patients (mean age 11.6\u00a0years) were examined at a routine follow\u2010up visit, 6\u00a0months to 16\u00a0years after liver transplantation at the Swiss Center for Liver Disease in Children. After the medical examination, participants were further examined for the presence of dental caries, periodontal disease, GE, and GTC. The mean decay, missing, and filled teeth (dmft\/<jats:styled-content style=\"fixed-case\">DMFT<\/jats:styled-content>) score was 3.8. 45% of the participants presented at least one carious lesion. Two\u2010third of the participants had more than 20% of sites with the presence of plaque and gingival inflammation. Signs of <jats:styled-content style=\"fixed-case\">GE<\/jats:styled-content> were found in 18% and <jats:styled-content style=\"fixed-case\">GTC<\/jats:styled-content> in 30% of the participants. A positive correlation was identified between <jats:styled-content style=\"fixed-case\">GTC<\/jats:styled-content> and peak serum bilirubin (<jats:italic>P<\/jats:italic>&lt;.001) and primary diagnosis of cholestatic disease (<jats:italic>P<\/jats:italic>=.04). Gingival inflammation was associated with plaque (<jats:italic>P<\/jats:italic>&lt;.001), use of immunosuppressive medication (<jats:italic>P<\/jats:italic>=.04), and was more pronounced in children with cholestatic disease (<jats:italic>P<\/jats:italic>=.007). Children and young adults with liver transplants presented a rather poor oral health status. Liver transplant physicians should counsel patients for regular dental follow\u2010up in order to avoid serious dental infections.<\/jats:p>","DOI":"10.1111\/petr.13019","type":"journal-article","created":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T05:04:37Z","timestamp":1499058277000},"source":"Crossref","is-referenced-by-count":14,"title":["Oral health of pediatric liver transplant recipients"],"prefix":"10.1111","volume":"21","author":[{"given":"Mar\u03afa Jos\u00e9","family":"Sandoval","sequence":"first","affiliation":[{"name":"Division of Periodontology School of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkisti","family":"Zekeridou","sequence":"additional","affiliation":[{"name":"Division of Periodontology School of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Spyropoulou","sequence":"additional","affiliation":[{"name":"Swiss Center for Liver Disease in Children University Hospitals Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Courvoisier","sequence":"additional","affiliation":[{"name":"Division of Rheumatology University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Mombelli","sequence":"additional","affiliation":[{"name":"Division of Periodontology School of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"McLin","sequence":"additional","affiliation":[{"name":"Swiss Center for Liver Disease in Children University Hospitals Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7079-617X","authenticated-orcid":false,"given":"Catherine","family":"Giannopoulou","sequence":"additional","affiliation":[{"name":"Division of Periodontology School of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.it.2013.09.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.2012.00457.x"},{"key":"e_1_2_8_4_1","first-page":"S106","article-title":"Diabetes and periodontal diseases: consensus report of the Joint EFP\/AAP Workshop on Periodontitis and Systemic Diseases","volume":"4","author":"Chapple IL","year":"2013","journal-title":"J Periodontol"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.080220"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.06.037"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mop.0000127160.82531.77"},{"key":"e_1_2_8_8_1","first-page":"184","article-title":"A survey of the oral status of children undergoing liver transplantation","volume":"26","author":"Lin YT","year":"2003","journal-title":"Chang Gung Med J"},{"key":"e_1_2_8_9_1","first-page":"323","article-title":"Oral health status in liver transplant Italian children","volume":"14","author":"Ferrazzano GF","year":"2013","journal-title":"Eur J Paediatr Dent"},{"key":"e_1_2_8_10_1","first-page":"36","article-title":"Evaluation of cyclosporin\u2010induced gingival overgrowth in the pediatric transplant patient","volume":"16","author":"Allman SD","year":"1994","journal-title":"Pediatr Dent"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0960-7439.2001.00305.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21038"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.03.063"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1678-77572012000200020"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2008.01236.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2012.120512"},{"key":"e_1_2_8_17_1","volume-title":"Oral Health Surveys. 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