心肺同時移植患者の抜歯経験

DOI Web Site 参考文献6件
  • 濱田 正和
    大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室 市立豊中病院歯科口腔外科
  • 木本 雅也
    大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室 市立伊丹病院歯科口腔外科
  • 竹下 彰範
    大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室
  • 今井 琢己
    公立豊岡病院組合立豊岡病院歯科口腔外科
  • 太田 嘉幸
    大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室 市立伊丹病院歯科口腔外科
  • 由良 義明
    大阪大学大学院歯学研究科顎口腔病因病態制御学講座口腔外科学第二教室

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  • A case of tooth extraction in a patient after heart-lung transplantation
  • シンハイ ドウジ イショク カンジャ ノ バッシ ケイケン

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抄録

The first heart-lung transplantation in Japan was performed in 2009. As the number of transplantations increases with successful results, treatment in oral and maxillofacial surgery will also increase to improve the quality of life. We report on a patient who underwent heart-lung transplantation and had a fractured molar tooth that needed to be extracted. Since he had been given a bisphosphonate (BP), the BP was discontinued for 3 months. An antithrombotic drug was continued, and antibiotics were used to prevent infective endocarditis. The patient underwent extraction of a mandibular left first molar under local anesthesia in combination with intravenous sedation. During operation, his vital signs were monitored. The tooth was extracted successfully without any complications, and the postoperative course was uneventful. There were no physical problems as of 3 months after surgery. When we treat patients who undergo heart-lung transplantation, it is essential to pay attention to hemodynamics, hemorrhagic diathesis, prevention of infection, and BP-related osteonecrosis of the jaws.

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