Multiple Teeth Extractions, Confection and Installation of Total Prostheses in Patients with Renal Insufficiency: Case Report

Abstract

performed in alternating with hemodialysis. When it is necessary to use antibiotic, analgesic or anti-inflammatory medication, drugs with hepatic metabolism should be used. However, whenever possible, the patient's nephrologist should be contacted for adjustment and choice of medication. Patients with an organ transplant need immunosuppressive drugs to prevent rejection for the rest of their lives. Because of immunosuppression, these patients may develop oral lesions like gingival overgrowth induced by ciclosporin or by calcium channel blockers, or oral candidiasis, viral infections, and malignancies, such as lip cancer. Since patients are susceptible to oral lesions after organ transplantation due to their immunosuppressive or antihypertensive medication, it is important to examine these patients regularly to allow early detection of oral diseases and facilitate proper treatment to avoid major complications [3]. Although there are inconclusive outcomes regarding the prevalence of caries in hemodialysis patients, most studies describe a high incidence of periodontal disease in these patients, where poor oral hygiene with increased deposits of plaque and calculus, identifying the presence of gingival inflammation, deep periodontal pockets, clinical attachment level loss and bone loss [4]. According to Lopes [5], in dental procedures involving bleeding, acetylsalicylic acid should be avoided. It irreversibly inhibits platelet thromboxane, responsible for platelet aggregation. The use of medications