Poor oral health status and short‐term outcome of kidney transplantation

Sarmento, Dmitry José de Santana; Caliento, Rubens; Maciel, Rafael Fábio; Braz‐Silva, Paulo Henrique; Pestana, José Osmar Medina; Lockhart, Peter B.; Gallottini, Marina

doi:10.1111/scd.12512

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…The periodontal status affected hypertension [ 28 ]. Oral infections affected the prognosis of the patients with kidney disease [ 29 , 30 ]. The proportion of the medical healthcare cost of diabetes, hypertension, and kidney diseases was high ( Figure 2 A).…”

Section: Discussionmentioning

confidence: 99%

Does Last Year’s Cost Predict the Present Cost? An Application of Machine Leaning for the Japanese Area-Basis Public Health Insurance Database

Nomura

Ishii²,

Chiba³

et al. 2021

IJERPH

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The increasing healthcare cost imposes a large economic burden for the Japanese government. Predicting the healthcare cost may be a useful tool for policy making. A database of the area-basis public health insurance of one city was analyzed to predict the medical healthcare cost by the dental healthcare cost with a machine learning strategy. The 30,340 subjects who had continued registration of the area-basis public health insurance of Ebina city during April 2017 to September 2018 were analyzed. The sum of the healthcare cost was JPY 13,548,831,930. The per capita healthcare cost was JPY 446,567. The proportion of medical healthcare cost, medication cost, and dental healthcare cost was 78%, 15%, and 7%, respectively. By the results of the neural network model, the medical healthcare cost proportionally depended on the medical healthcare cost of the previous year. The dental healthcare cost of the previous year had a reducing effect on the medical healthcare cost. However, the effect was very small. Oral health may be a risk for chronic diseases. However, when evaluated by the healthcare cost, its effect was very small during the observation period.

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Section: Discussionmentioning

confidence: 99%

Does Last Year’s Cost Predict the Present Cost? An Application of Machine Leaning for the Japanese Area-Basis Public Health Insurance Database

Nomura

Ishii²,

Chiba³

et al. 2021

IJERPH

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show abstract

“…ESRD patients may be waiting for a kidney transplant. Potential transplant candidates should be free of inflammation before they can receive a transplant, in order to avoid infectious complications when on anti-inflammatory drugs after transplantation (Sarmento et al, 2020). Since periodontal inflammation and/or dental caries in ESRD patients are common, and low salivary flow may predispose to the rapid progression of these diseases later, a careful examination of the oral cavity and treatment of oral problems before transplantation may be part of the pretransplant procedure.…”

Section: Discussionmentioning

confidence: 99%

Oral health in patients with end‐stage renal disease: A scoping review

Laheij

Rooijers

Bidar

et al. 2021

Clinical & Exp Dental Res

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Objectives: In patients with end stage, renal disease a high rate of morbidity and mortality is present. Studies suggest that end stage renal disease may affect oral health. Therefore, the aim of this study was to perform a scoping review on periodontal disease, dental caries, xerostomia, and hyposalivation in end stage renal disease patients. Materials and methods:A literature search (in PubMed and Embase.com) was performed up to September 29, 2020, in collaboration with a medical information specialist. Included outcome variables were the community periodontal index, probing pocket depth, gingival index, bleeding on probing, decayed-missing-filled-teeth, carious-absent-obturated index, Xerostomia Inventory and the (un)stimulated whole salivary flow rate.Results: Forty three out of 1293 studies were included in the final review comprising 7757 end stage renal disease patients. The average age was 58.3 ± 29.4 years.28.2%-78.8% of patients reported xerostomia and the (un)stimulated salivary flow rates were significantly lower. Higher community periodontal index scores were measured in end stage renal disease patients. More decayed-missing-filled-teeth were recorded, but no differences were found between groups.Conclusions: Xerostomia and hyposalivation were highly prevalent in end stage renal disease patients. Patients have more deepened pockets, but an equal number of carious teeth compared to healthy controls.

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“…Many publications addressing this topic utilize the DMFT index for assessing oral health status or the related quality of life [6,14,24]. However, this index contains no direct information about the necessity for surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the diagnosis and prophylactic treatment of existing infections, like destroyed teeth and residual roots prior to organ transplantation and drug-induced immunosuppression, are essential. In this context, studies underline that immunosuppressed patients are at greater risk of developing systemic infections leading to hospitalization [6] or even organ rejection relating to odontogenic infection [7]. Oral rehabilitation prior to kidney transplantation is therefore imperative.…”

Section: Introductionmentioning

confidence: 99%

Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease

et al. 2021

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Objectives This retrospective study evaluates intraoral surgical and conservative treatment need in patients with a chronic kidney end-stage disease, depending on the duration of dialysis treatment and the causative nephrological disease. Material and methods This study is based on data of patients referred to the Department of Oral and Maxillofacial Surgery of the University Hospital Erlangen, Germany, prior to kidney transplantation between January 2015 and March 2020. The necessity for oral surgical or dental therapy was determined by clinical and radiological examinations. Data on renal replacement therapy, cause of underlying renal disease, lifestyle, and general health were collected. Results Data of N = 89 patients demonstrated that surgical treatment need depends on dialysis duration (p = 0.042). Patients, who had been dialyzing for 2 to 3 years showed the highest need for surgical intervention (80.0%; p = 0.024), followed by dialysis patients with a dialysis time of more than 3 years (48.1%). Similarly, dialysis patients in the second or third year of dialysis had the highest need for conservative treatment (73.3%; p > 0.05), followed by 55.6% of dialysis patients in the third year of dialysis. Conclusions Operative and conservative treatment is essential to optimize subsequent kidney transplantation. The greatest necessity could be detected for patients in the second and third years of dialysis. Clinical relevance Oral health addressing surgical and conservative treatment need depends on the duration of dialysis in patients with a chronic kidney end-stage disease.

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Poor oral health status and short‐term outcome of kidney transplantation

Cited by 9 publications

References 27 publications

Does Last Year’s Cost Predict the Present Cost? An Application of Machine Leaning for the Japanese Area-Basis Public Health Insurance Database

Does Last Year’s Cost Predict the Present Cost? An Application of Machine Leaning for the Japanese Area-Basis Public Health Insurance Database

Oral health in patients with end‐stage renal disease: A scoping review

Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease

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