Tooth extraction not tied to Spontaneous Bacterial Peritonitis among cirrhosis patients: Study

A study was done to identify the association between tooth extraction and occurrence of spontaneous bacterial peritonitis (SBP) and to assess delayed soft tissue healing of extraction sockets in cirrhotic patients. 119 participants awaiting liver transplantation who required tooth extraction were included. Seven days before the surgery, the patients underwent panoramic radiography and laboratory exams.

Soft tissue healing was evaluated seven days after the tooth extraction and medical records were checked after 21 days for development of SBP. The relationship between predictive factors and outcomes was assessed by using multiple binomial logistic regression. Results: 195 teeth were extracted, resulting in 146 alveolar wounds, in which the majority (47%) consisted of alveolar sockets of multirooted teeth. One participant was diagnosed with SBP (Escherichia coli) and another diagnosed with bacterascites (Streptococcus viridans group), occurring 11 and 6 days after tooth extraction.

Poor soft tissue healing was observed in 20 (13.7%) patients, which was correlated to two risk factors, that is, jaundice (P=0.007, adjusted OR = 4.91; 95%CI = 1.56-15.47) and moderate neutropenia (P=0.048, adjusted OR = 13.99; 95%CI = 1.02-192.07). No association was found between tooth extraction and SBP in cirrhotic patients. The delayed soft tissue healing was related to jaundice (hyperbilirubinemia) and moderate neutropenia.

Reference:

Gustavo Souza Galvão, Juliana Bertoldi Franco, Maria Paula Siqueira de Melo Peres, Gabriela Banacu de Melo, Jefferson R. Tenório, Janaina B. Medina, Camila de Barros Gallo, Karem L. Ortega. Spontaneous Bacterial Peritonitis and Soft Tissue Healing after Tooth Extraction in Liver Cirrhosis Patients, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology,2024, ISSN 2212-4403,https://doi.org/10.1016/j.oooo.2024.09.003.