Systemic conditions, oral findings and dental management of chronic renal failure patients: general considerations and case report

Hamid, Mahmud Juma Abdalla Abdel; Dummer, Claus Dieter; Pinto, Lourenço Schmidt

doi:10.1590/s0103-64402006000200016

Cited by 33 publications

(35 citation statements)

References 15 publications

(31 reference statements)

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“…[20] pH of stimulated whole saliva does not reveal any significant difference because sodium and bicarbonate concentrations increase with increased flow rates, resulting in a higher salivary pH. This effect might mask the changes that are due to the disease condition.…”

Section: Discussionmentioning

confidence: 99%

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Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study

et al. 2013

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We wanted to assess oral and salivary changes in end stage renal disease (ESRD) patients undergoing hemodialysis (HD) and to understand the correlation of such changes with renal insufficiency. The cross-sectional study was performed among 100 ESRD patients undergoing HD. Among these, 25 patients were randomly selected to assess the salivary changes and compared with 25 apparently healthy individuals who formed the control group. Total duration of the study was 15 months. Oral malodor, dry mouth, taste change, increased caries incidence, calculus formation, and gingival bleeding were the common oral manifestations. The flow rates of both unstimulated as well as stimulated whole saliva were decreased in the study group. The pH and buffer capacity of unstimulated whole saliva was increased in the study group, but stimulated whole saliva did not show any difference. ESRD patients undergoing HD require special considerations during dental treatment because of the various conditions inherent to the disease, their multiple oral manifestations and the treatment side-effects.

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Section: Discussionmentioning

confidence: 99%

“…[320] No significant difference is observed in buffer capacity of stimulated whole saliva as stimulation itself increases concentration of bicarbonates in parotid saliva, leading to a higher buffer capacity. [2122]…”

Section: Discussionmentioning

confidence: 99%

Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study

et al. 2013

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“…1 Diseases causing CRF are diverse, however diabetes mellitus (DM) is considered to be the most important and common cause. [2][3][4] It is important to ascertain if an underlying disease is present, since such a disease in itself may influence oral manifestations.…”

Section: Introductionmentioning

confidence: 99%

Oral Manifestations in Diabetic and Nondiabetic Chronic Renal Failure Patients on Hemodialysis

Asha

Latha

Pai

et al. 2012

JIAOMR

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“…In aspirin, acetaminophen and ibuprofen treatment indications prolongation of dosing interval is recommended; however, dose reduction is recommended for diclofenac and naproxen. When the GFR is <10 mL/min avoidance need to be considered, excluding acetaminophen in intervals of 8-12 h. On the other side narcotic analgesics (morphine, fentanyl, codeine) are metabolized by the liver and usually do not require dose adjustment [74,75]. But special caution should also be exercised in patients with end-stage renal disease without dialysis whereby the use of opioids such as codeine, dihydrocodeine, dextropropocyphene and hydrocodone is not recommended (tramadol may be used with caution).…”

Section: Analgesic Use In Renal and Hepatic Insufficiencymentioning

confidence: 99%

Analgesics Use in Dentistry

Krasniqi¹,

Daci²

2017

Pain Relief - From Analgesics to Alternative Therapies

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Pain is a protective warning sign activated by tissue damage during different pathological processes. The clinical manifestation of pain is individual, multifactorial and very complex and requires the implementation of sound pharmacological approaches. The treatment of odontogenic pain is focused not only in the relief of pain but also in the suppression of causes of pain, mainly the inflammation. Acting as inhibitors of pain mechanism, analgesics are used for symptomatic treatment of pain. There are several groups of analgesic drugs used in dentistry practice and most frequent are nonsteroidal anti-inflammatory drugs (NSAIDs) and aniline analgesics. The contemporary strategies for the treatment of odontogenic pain are focused in analgesic drug combinations, which are more effective and have a better safety profile. Ibuprofen and acetaminophen agents are considered gold standard of dental analgesia for mild to moderate intensity of pain, while in moderate to severe pain the use of individual opioid analgesics or combination of opioid and nonopioid analgesics is recommended. The treatment of pain in children and elderly patients is associated with some limitations accompanied with safety concerns and dose reduction. Treatment of pain in dentistry is focused in achieving the satisfactory level of analgesia at low doses possible.

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Systemic conditions, oral findings and dental management of chronic renal failure patients: general considerations and case report

Cited by 33 publications

References 15 publications

Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study

Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study

Oral Manifestations in Diabetic and Nondiabetic Chronic Renal Failure Patients on Hemodialysis

Analgesics Use in Dentistry

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