Dental calculus formation in children and adolescents undergoing hemodialysis

Martins, Carla; Siqueira, Walter L.; Oliveira, Elizabeth De; Nicolau, José Carlos; Primo, Laura Guimarães

doi:10.1007/s00467-012-2194-9

Cited by 33 publications

(44 citation statements)

References 20 publications

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“…This finding also emphasized the key role of P in dental calculus formation [8]. A previous study also showed that only the P concentration in stimulated whole saliva was associated with dental calculus formation, corroborating the findings of Epstein et al, who found that elevated levels of P and protein may contribute to dental calculus formation [17]. More P is secreted in saliva because of renal function deterioration, and severe RRF may have resulted in the greater amount of dental calculus formation in the HD group.…”

Section: Discussionsupporting

confidence: 78%

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Differences in Dental Calculus Indices and Salivary Calcium and Phosphate Levels in Children With Chronic Kidney Disease Undergoing Hemodialysis and Peritoneal Dialysis Therapy

Kirana

Sutadi

Budiardjo

2018

Asian J Pharm Clin Res

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Objective: The objective of this study is to analyze the differences in dental calculus indices and calcium and phosphate levels in children with chronic kidney disease undergoing hemodialysis (HD) and peritoneal dialysis (PD) therapy. Methods:In this cross-sectional study, 15 children undergoing HD therapy and 15 undergoing PD therapy were subjected to intraoral examination for dental calculus indices. Whole unstimulated saliva samples of all subjects were collected and subjected to calcium and phosphate analysis. Statistical analyses were conducted using the Mann-Whitney and independent t-tests. Results:The dental calculus indices were significantly lower and salivary calcium level was significantly higher in the PD group than those in the HD group (p<0.05). The salivary phosphate level was lower in the PD group (p≥0.05) but without significance. Conclusion:The PD group had lower dental calculus indices and higher salivary calcium level. The higher salivary phosphate levels in the HD group may have contribute to the higher dental calculus indices, probably because phosphate plays an important role in dental calculus formation.

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Section: Discussionsupporting

confidence: 78%

“…The consequence is increased synthesis and secretion of the parathyroid hormone (secondary hyperparathyroidism), which causes low levels of Ca in the HD group [16]. The higher levels of Ca in PD patients may also be related to their higher dietary Ca intake and supplementation that they are recommended [17].…”

Section: Discussionmentioning

confidence: 99%

Differences in Dental Calculus Indices and Salivary Calcium and Phosphate Levels in Children With Chronic Kidney Disease Undergoing Hemodialysis and Peritoneal Dialysis Therapy

Kirana

Sutadi

Budiardjo

2018

Asian J Pharm Clin Res

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“…They are also able to produce 10-to 50-fold greater salivary urea levels than healthy subjects. 29,35,36 .…”

Section: Discussionmentioning

confidence: 99%

Salivary Urease and ADS Enzymatic Activity as Endogenous Protection against Dental Caries in Children

Moncada¹,

Maureira²,

Neira³

et al. 2015

Journal of Clinical Pediatric Dentistry

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“…Even though, no significant statistical difference between groups regarding plaque was reported by Abdellatif et al (6) and Martins et al (34), which is probably due to the similar socio-economic levels and oral hygiene neglect by both groups or due to the effect of salivary uraemia and its inhibitory effect on plaque formation in the renal group.…”

Section: Discussionmentioning

confidence: 77%

Oral Health Status of Children Undergoing Renal Dialysis in Alexandria, Egypt

Quritum

Hamza

Abdelaziz

2019

Alexandria Dental Journal

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INTRODUCTION: Advances in pediatric nephrology have resulted in increased survival rates of children on renal dialysis. Renal failure is characterized by multiple organ involvement, including complications in the soft and hard tissues of the oral cavity. Yet, data regarding the oral health status of Egyptian children on renal dialysis is scarce. OBJECTIVES: The aim of this study was to assess the oral health conditions (dental caries, oral hygiene, gingival condition, calculus and enamel hypoplasia) of children undergoing renal dialysis, in Alexandria, Egypt compared to matched healthy controls. MATERIALS AND METHODS: This study was conducted on all available (70) end-stage renal disease children undergoing dialysis, aged 6-18 years recruited from Alexandria University Children's Hospital (AUCH) and its outpatient-clinics (nephrology medicine) and from Sporting Student's hospital (Health Insurance). The data were compared with that of a gender and age matched control group. Data were collected using an interview questionnaire and clinical examination. The mean df, DMF, GI, Pl.I and CSI scores were recorded. Enamel hypoplasia recorded according to Alaluusa et al criteria was also assessed. RESULTS: Dialysis children had significantly higher plaque, gingival, CSI and enamel hypoplasia scores whereas mean DMFT was higher among healthy children. No significant differences were observed between groups regarding dft. CONCLUSIONS: Children undergoing renal dialysis showed significantly worse oral health conditions than healthy controls except for dental caries status. The results of the study suggest a need for dental advice and supervision, and indicate that dental and medical care should be closely integrated for children with renal failure

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Dental calculus formation in children and adolescents undergoing hemodialysis

Abstract: In conclusion, patients undergoing hemodialysis presented accelerated dental calculus formation, probably due to salivary variables.

Cited by 33 publications

References 20 publications

Differences in Dental Calculus Indices and Salivary Calcium and Phosphate Levels in Children With Chronic Kidney Disease Undergoing Hemodialysis and Peritoneal Dialysis Therapy

Differences in Dental Calculus Indices and Salivary Calcium and Phosphate Levels in Children With Chronic Kidney Disease Undergoing Hemodialysis and Peritoneal Dialysis Therapy

Salivary Urease and ADS Enzymatic Activity as Endogenous Protection against Dental Caries in Children

Oral Health Status of Children Undergoing Renal Dialysis in Alexandria, Egypt

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