Oral symptoms and pathologies in Danish patients with chronic kidney disease‐ a pilot study

Abstract

The aim was to investigate oral health in randomly selected patients with chronic kidney disease (CKD). Data obtained by structured interview (self‐reported lifestyle, oral symptoms and regularity of dental visits) and oral examination of patients with CKD from the Copenhagen University Hospital. Fourteen patients with CKD were screened. Only half of the patients reported regular dental visits and poor dental status was registered in half of the patients. Oral mucosal changes were registered in thirteen patients (93%). Eleven patients (79%) had gingival inflammatory disease. Twelve patients (86%) were carriers of Candida, and three (21%) had oral candidosis. Six patients (43%) had low whole saliva flow rate. Twelve patients (86%) reported at least one oral symptom. Overall, there was no differences in oral symptoms or findings related to kidney transplanted or not transplanted patients. The small sample size most likely influences the results. However, the vast majority of patients with CKD reported oral symptoms and only half consulted a dentist regularly. Poor dental status, oral mucosal changes and gingival disease were prevalent findings. Patients with CKD need focus on daily oral healthcare and regular dental visits. Interdisciplinary cooperation could encourage patients with CKD to focus on oral health.

Doença renal crônica: influencia sistêmica na odontologia e manifestações bucais

“…Durante o acompanhamento, Martins et al (2012), Gautam et al (2014), Xie et al (2014), sugerem que a conscientização e o estímulo de uma boa saúde bucal é um fator decisivo durante as terapias de manutenção, tanto sistêmicas quanto locais. Durante essas consultas deve-se destacar a importância do uso do fio dental, dentifrício fluoretado e a troca constante da escova dental (Palmer et al, 2015;Nylund et al, 2017;Kesmez et al, 2020). Além disso, Bhatsange;Patil, (2012), Nylund et al (2017) concordam que deve ser feito a remoção de todos os focos infecciosos pré existentes ou com potencialidade de infecção.…”