Post Transplant Caries
Rampant caries that occurs post transplant are not unlike caries seen after therapeutic radiation to the head and neck. It is usually secondary to dry mouth from GVH of the salivary glands. This combined with poor oral hygiene because of gingival pain and soft diet exacerbates and accelerates root caries. They are very difficult to restore and preventive home fluoride in custom trays are often necessary to prevent further deterioration of the dentition.
Here are 2 examples of rampant decay seen after allo HCT.