# Management of Dental Extraction in Liver Cirrhosis: A Case Report

**Authors:** Ibtihag S Elnaem, Ebtehal M Aloudah, Hawaa A Essa, Layla H Alenzi, Albandri M Alghris

PMC · DOI: 10.7759/cureus.80388 · Cureus · 2025-03-11

## TL;DR

This case report discusses the dental extraction challenges in a patient with liver cirrhosis and highlights the importance of careful management to prevent complications.

## Contribution

The paper presents a real-world case emphasizing the complexities of dental care for patients with liver cirrhosis.

## Key findings

- Liver cirrhosis increases the risk of oral infections and affects drug metabolism and hemostasis.
- Proper preoperative evaluation is crucial to manage dental procedures in cirrhosis patients.
- Academic-based clinics can provide effective treatment by addressing the unique challenges of liver disease.

## Abstract

Cirrhosis prevalence varies worldwide, with high incidence rates observed in populations with high rates of hepatitis infection and alcohol consumption. Portal hypertension, ascites, hepatic encephalopathy, and heightened vulnerability to infections are common in patients with advanced liver disease. In addition to impairing hemostasis, immune function, and metabolism, chronic liver disease increases susceptibility to oral and systemic infections. Because it affects infection risk, drug metabolism, and hemostasis, liver illness and dentistry interact in a crucial way. Patients with liver illness are more susceptible to oral infections, and impaired liver function can change how well regularly given drugs are cleared. A 54-year-old female with liver cirrhosis and a significant medical history presented with pain in the lower left teeth. This case study emphasizes the challenges involved in managing patients with liver cirrhosis and preventing postoperative complications using the essential examination for accurate and effective treatment in an academic-based clinic.

## Linked entities

- **Diseases:** portal hypertension (MONDO:0005080), hepatic encephalopathy (MONDO:0001711)

## Full-text entities

- **Diseases:** chronic liver disease (MESH:D008107), Cirrhosis (MESH:D005355), hepatitis infection (MESH:D056486), Liver Cirrhosis (MESH:D008103), ascites (MESH:D001201), pain (MESH:D010146), oral and systemic infections (MESH:D012141), Portal hypertension (MESH:D006975), hepatic encephalopathy (MESH:D006501), infection (MESH:D007239)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC11983627/full.md

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11983627/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC11983627/full.md

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Source: https://tomesphere.com/paper/PMC11983627