Oral Aspects in Children with Nephrotic Syndrome

Güzel, Kadriye Görkem Ulu; Yılmaz, Dilek; Abacıgil, Filiz; Pirinççi, Serhat

doi:10.5336/dentalsci.2018-61371

Cited by 2 publications

(10 citation statements)

References 18 publications

(28 reference statements)

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“…This study showed some lower caries experience in the iNS participants compared to healthy ones (83.0% vs 95.7%). Like Güzel et al [17] in pediatric patients with nephrotic syndrome in remission phase, we found some lower dmft and DMFT values in iNS patients compared to the controls. On the contrary, another study presented significantly higher dmft and slightly lower DMFT values compared to the controls [16].…”

Section: Discussionsupporting

confidence: 81%

“…However, another study showed that only 1 out of 38 patients (i.e. 2.6%) was affected by enamel hypoplasia [17].…”

Section: Discussionmentioning

confidence: 96%

“…An occasional removal of dental biofilm promotes to its accumulation and can predispose to gingival inflammation, drug-induced gingival hyperplasia and an increase of destructive periodontal diseases [6,15]. However, the data on dental caries experience in young patients with nephrotic syndrome are scarce and inconsistent pointing on lower or greater caries occurrence [16,17].…”

Section: Introductionmentioning

confidence: 99%

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Oral health conditions in children with idiopathic nephrotic syndrome: a cross-sectional study

et al. 2020

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Background: Nephrotic syndrome is one of the chronic illnesses in the pediatric age group. The aim of this study was to assess the oral health of patients with steroid-sensitive idiopathic nephrotic syndrome (iNS). Methods: A case-control study was performed on iNS patients and healthy from May 2018 to April 2019. Dental caries was assessed by the World Health Organization criteria, developmental defects of enamel by the mDDE index, oral hygiene by the OHI-S and API, and gingival condition by the GI. Oral health behavior was recorded using a standardized questionnaire including tooth brushing, fluoride prevention, dietary habits and utilization of dental care. Additionally, Streptococcus mutans (SM) and Lactobacillus spp. (LB) bacteria in saliva were assessed using the CRT bacteria test. Statistical analysis comparing oral health parameters was carried by Pearson's chisquared, Fisher's exact, Shapiro-Wilk verified by Student's t or Mann-Whitney U tests. Results: The study included 94 participants of both sexes at the age of 4 to 17 years (47 cases and 47 controls) who were treated in Clinic of Pediatric Nephrology or outpatients' dental clinic in Wroclaw, Poland. The iNS patients compared to the controls revealed some lower caries experience (83.0% vs 95.7%) and number of caries affected primary and/or permanent teeth (4.6 ± 3.5 vs 6.0 ± 4.1), a significantly lower number of filled primary and/or permanent teeth (1.1 ± 1.6 vs 3.5 ± 3.0, P < 0.001) and higher incidence of enamel hypoplasia (31.9% vs 4.3%, P < 0.001). The numbers of the iNS patients with high level of SM and LB were similar to the controls. The iNS patients had a higher OHI-S score (1.89 ± 1.59 vs 1.05 ± 1.02, P < 0.010) and a higher GI score (0.7 ± 1.0 vs 0.3 ± 0.6, P = 0.050). Moreover, they less frequently brushed their teeth twice a day (78.8% vs 93.6%, P = 0.026) and more frequently consumed three or more snacks daily (53.2% vs 23.4%, P = 0.002). Conclusions: The iNS patients despite the poor oral hygiene revealed lower caries experience but smaller number of restored caries-affected teeth, more severe gingivitis and more frequently teeth affected by enamel hypoplasia.

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Section: Discussionsupporting

confidence: 81%

“…However, another study showed that only 1 out of 38 patients (i.e. 2.6%) was affected by enamel hypoplasia [17].…”

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Oral health conditions in children with idiopathic nephrotic syndrome: a cross-sectional study

et al. 2020

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“…Oral hygiene practice among children with PNS has been reported as poorer than among healthy controls [10], with significantly increased food debris and dental plaque [8,11]. Despite not providing specific calculus indices, two studies by Babu and Jana (2014) [12] and Subramaniam (2012) [8] revealed a high incidence of calculus, especially at the lingual surface of mandibular incisors, in children with PNS.…”

Section: Introductionmentioning

confidence: 99%

“…Even though poor oral care is well known as a risk factor for caries [8,12], the association between dental caries and PNS is, however, inconsistent in the literature. Several studies [7,14] revealed a significantly higher percentage of dental caries in NS children than in controls, while no difference [11,15] or contrastive results [8,10,12] were also reported.…”

Section: Introductionmentioning

confidence: 99%

Oro-Dental Health and Primary Nephrotic Syndrome among Vietnamese Children

et al. 2021

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Primary nephrotic syndrome (PNS) is common in children, affecting the soft and hard tissues of the oral cavity. This study aimed to investigate the percentage of dental caries, gingivitis, hypertrophic gingivitis, and developmental defects of enamel (DDE) in children with PNS. The association of PNS with these diseases and oral care behavior was also assessed. A total of 407 children with PNS and 407 age- and gender-matched controls were recruited. PNS was diagnosed based on blood and urinary tests. The Simplified Oral Hygiene Index (OHI-S), the Gingival Index (GI), the Gingival Overgrowth Index (GOI), the Decayed, Missing, and Filled Teeth Index (dmft/DMFT), and DDE were collected. The PNS patients showed significantly higher scores of OHI-S, GI, and dmft, and higher proportions of dental caries and DDE than those of the controls (p < 0.001). It is necessary to establish a periodic dental protocol for PNS patients to improve their oral health status.

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Oral Aspects in Children with Nephrotic Syndrome

Cited by 2 publications

References 18 publications

Oral health conditions in children with idiopathic nephrotic syndrome: a cross-sectional study

Oral health conditions in children with idiopathic nephrotic syndrome: a cross-sectional study

Oro-Dental Health and Primary Nephrotic Syndrome among Vietnamese Children

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