Aspects of Renal Disease Affecting Dental Management — Surgery in Patients Receiving Hemodyalisis

Dencheva, Maria; Deliverska, E.; Krasteva, Assya; Galabov, J.; Kisselova, Angelina

doi:10.5772/59930

Cited by 3 publications

(5 citation statements)

References 96 publications

(116 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was found that children with chronic kidney diseases had lower caries prevalence than healthy child which may be attributed to protective effect of high level of salivary urea, which prevents bacterial activity and facilitate the neutralization of acids within bacterial plaque and may also enhance the remineralization process of early carious lesions. That is in agreement with several studies all over the world as the caries prevalence in kidney diseased patient among these studies ranged from 26% to 55% (8,14,26,(30)(31)(32)(33) .…”

Section: Discussionsupporting

confidence: 91%

“…Depending on the clinical situation of the child; a preventive program must be planned and mandatory followed each 3 months (14,15) . Dental treatment in patients undergoing hemodialysis is suitable to be performed the day after renal dialysis as there is an electrolyte balance.…”

Section: Introductionmentioning

confidence: 99%

“…Antibiotic prophylaxis should be prescribed if there is risk of septicemia in case of placement of orthodontic appliances, periodontal treatment, extractions, endodontic treatment and periapical surgery,…etc. (14,17) . Although the presence of such researches in this field in the world wide but there is a limited data in Egypt about oral and dental changes in children suffering from chronic renal failure who undergoing dialysis or transplantation therapy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Oral Health Status of Children Undergoing Hemodialysis and Kidney Transplantation in Mansoura City, Egypt

et al. 2021

View full text Add to dashboard Cite

Purpose: Evaluation of oral health status in children undergoing hemodialysis sessions and kidney transplantation and compared them with healthy children. Materials and Methods: This descriptive study was conducted on 250 children aged 6-18 years old (100 children undergoing hemodialysis, 50 children undergoing kidney transplantation and 100 healthy children as a control group). The oral health status was evaluated regarding to caries experience, gingivitis using PMA index, developmental defects using modified DDE index. Un-stimulated salivary flow rate and pH were also measured. Results: caries experience was significantly lower in both chronic kidney disease (CKD) groups compared to control group. Median PMA was significantly higher in hemodialysis and in transplantation groups compared to control group. The prevalence of developmental enamel defects was 41% in hemodialysis group and 58% in transplantation group compared to 11% in control group (P-value < 0.001). Regarding to saliva analysis, the flow rate was higher among healthy children while the salivary PH was higher among children with CKD. Conclusions: chronic kidney disease may decrease caries experience, increase gingival inflammation, in addition to increase prevalence of developmental defects. Furthermore, children with chronic kidney disease have lower salivary flow rate and higher buffering capacity than healthy children.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oral Health Status of Children Undergoing Hemodialysis and Kidney Transplantation in Mansoura City, Egypt

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The management of dental and oral disease in patients with kidney disorders involves considering certain haematological and cardiovascular effects in determining drug prescription and use. [25] A total of 9 patients, accounting for 2.6% of the samples had liver disorders. The categories of liver disorders in this study included hepatitis A and B.…”

Section: Discussionmentioning

confidence: 99%

Comorbid Profile of Tooth Extraction Patients at the Special Dental and Oral Hospital Faculty of Dentistry, Universitas Indonesia Period 2018–2020

Evy Eida Vitria,

Jeanie Cornelia

2023

Dentika Dental J.

View full text Add to dashboard Cite

Patients visiting the dentist for treatment may have different comorbidities, which refers to the existence of multiple disorders in an individual during a specific period. These comorbidities consist of both physical and psychological illness, occurring alongside the primary condition of patients, and potentially worsening their overall health condition. The condition adversely affects patients survival and can have an impact on the physiological burden, as well as on treatment options. Therefore, this retrospective descriptive study aimed to determine the distribution and frequency of comorbid diseases in dental extraction patients using secondary data from medical records and at the Special Dental and Oral Hospital (RSKGM) FKG UI from 2018 to 2020. Based on 718 samples of medical records of tooth extraction patients, 341 patients, accounting for 47.5% had comorbid diseases, with a percentage of 61.87% and 38.13% for female and male patients, respectively. The most common comorbid disease occurred in the age group of 21–30 years with a percentage of 38.4%. Furthermore, the most common comorbid disease found in tooth extraction patients was digestive disorders, followed by hypertension, accounting for 56.6% and 23.5%, respectively. Most of the indications for tooth extraction were root gangrene at 32.6%, followed by pulpal gangrene with a percentage of 30.8%. The results of this study indicate that most of the patients with tooth extraction had comorbid diseases and the most frequently found were gastrointestinal disorders and hypertension.

show abstract

“…[7][8][9][10]46 Além dessas alterações, alguns estudos observam erupção dentária atrasada, alterações do trabeculado ósseo e doença periodontal mais incidente em pacientes com IRC. 47 A estomatite urêmica é observada mais raramente, principalmente nos casos de IRC não diagnosticada ou não tratada. Clinicamente a estomatite urêmica é caracterizada pela presença de placas brancas, crostas e/ ou úlceras dolorosas que são normalmente distribuídas na mucosa e língua, acompanhas ou não de palidez de mucosa e sensação de queimação.…”

Section: Doença Renal Crônicaunclassified

Reparação alveolar pós-exodôntica em indivíduos com insuficiência renal crônica submetidos à hemodiálise

Andrade¹

View full text Add to dashboard Cite

Andrade NS. Post-extraction socket healing in subjects with chronic renal failure undergoing hemodialysis [thesis]. São Paulo: Universidade de São Paulo, Faculdade de Odontologia; 2018. Versão Original. Chronic kidney disease is the metabolic disorder resulting from progressive and irreversible decline of the renal function. The final stage of this disease is known as chronic kidney failure (CKF) that demands the start of renal replacement therapy, usually hemodialysis (HD). The clinical management of people with CKF can represent a challenge for dentists, especially when performing invasive dental procedures. Despite the lack of studies and clinical or scientific evidences that investigate the risk of post-extraction complications in people with CKF, several authors still recommend that dentists prescribe the use of prophylactic antibiotics to these individuals. Thus, our study aimed to assess clinically and radiographically the process of post-extraction socket healing in individuals with CKF submitted to HD, comparing to a control group without CKF, without the prescription of the prophylactic antibiotic. It was a prospective observational study that included 48 individuals with CKF in HD to compose the study group (SG) and 29 control subjects without CKF to form the control group (CG). The same dentist applied the questionnaire on medical history of the patient, conducted the clinical odontological exam and requested laboratory tests (hemogram, coagulogram, urea, creatinine, total calcium, alkaline phosphatase and parathyroid hormone). All participants were submitted to exodontia of erupted teeth, always by the same dental surgeons, without the use of prophylactic antibiotics, during the period from October 2016 to December 2018. Postoperative assessments were conducted 3, 7, 21 and 60 days after the extractions. On the SG, teeth extractions were performed in 65 distinct surgical times, totaling 87 extractions. On the CG, 76 extractions were performed in 36 surgical times. In SG there was a significant delay in surgical wound epithelization, which is observed 21 days after exodontia (29.9% versus 3.9%, p <0.001) and 2 hemorrhagic complications. We did not observe complications of infectious origins in any case for any group. The delay in alveolar epithelization on SG was significantly associated with a lower neutrophil count and wider HD time (p <0.05). Presence of bone spicules, 21 days after exodontia, was associated with lower values of serum calcium (p <0.05). In the radiographic evaluation of SG subjects, we observed a decreased bone density measured by the intensity of pixels and a lower complexity of the bone structure at the fractal dimension 60 days after exodontia, when compared to CG (p <0.001). We concluded that alveolar repair after extractions in individuals with CKF undergoing HD is similar to controls, with only a delay in the epithelization of the surgical wound that did not impact on the final repair of the alveolus. We can expect in some cases the occurrence of hemorrhagic events in individ...

show abstract

Aspects of Renal Disease Affecting Dental Management — Surgery in Patients Receiving Hemodyalisis

Cited by 3 publications

References 96 publications

Oral Health Status of Children Undergoing Hemodialysis and Kidney Transplantation in Mansoura City, Egypt

Oral Health Status of Children Undergoing Hemodialysis and Kidney Transplantation in Mansoura City, Egypt

Comorbid Profile of Tooth Extraction Patients at the Special Dental and Oral Hospital Faculty of Dentistry, Universitas Indonesia Period 2018–2020

Reparação alveolar pós-exodôntica em indivíduos com insuficiência renal crônica submetidos à hemodiálise

Contact Info

Product

Resources

About