Review of Liver Disease and Perioperative Management in Dentistry

  • Hillel EphrosEmail author
  • Ilya L. Garibyan


The liver has numerous essential functions, and multifactorial liver disease presents many challenges for the delivery of medical and dental care. Dental professionals who treat patients in various stages of the disease must be aware of the associated disturbances in hemostasis and the increased likelihood of bleeding postoperatively and during dental and oral surgical procedures. Thus, managing liver disease patients in the dental office or a hospital requires an understanding of the disease’s progression, an ability to interpret laboratory tests, and proper preparation to manage hemostatic complications.


Liver disease Hepatitis Cirrhosis Liver failure Vitamin K Model for End-Stage Liver Disease Child-Pugh classification Fresh frozen plasma Blood transfusion Postoperative bleeding International normalized ratio Prothrombin time Activated partial thromboplastin time 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Dentistry/Oral and Maxillofacial SurgerySt. Joseph’s University Medical CenterPatersonUSA
  2. 2.Oral and Maxillofacial Surgery ResidentSt. Joseph’s University Medical CenterPatersonUSA

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