Dental Treatment of Patients withTransplanted Organs with Regard to the Problem of Antibiotic Prophylaxis

Overview

The authors discuss the problem of dental treatment of subjects after organtransplantation, in particular from the aspect of self-handed dentists. Consistent with the viewof the German professional society for dental, oral and maxillary medicine (DGZMK) and otherprofessional sources, they recommend for antibiotic prophylaxis of the „single shot“ typeprimarily a combination of amoxicillin and metranidazol. They advise to base the selection ofoptimal continuous adjuvant antibiosis for prophylaxis in planned treatment during consecutive sessions on results of a molecular-biological tests (e.g. micro-Dent). The authors mentionthe principle of the original collection of biological material (so-called POCKET-OUT) accordingto Smola and Rettenberg for asessment of the main oral pathogens not only from the sulcusbut also from the gingival surface. In a table they summarize the problem of antibioticprophylaxis in the treatment of adult patients after transplantations.

Key words:
organ transplantation – antibiotic prophylaxis – molecular-biological tests –amoxicillin – metronidazol