The dental and oral status of children with chronic renal failure

Abstract

The main purpose of this investigation was to evaluate the oral and dental status of chronic renal failure (CRF) patients undergoing hemodialysis at children's Hospitals in Tehran. Fifty-three children with CRF aged 5-18 years recruited from the renal unit of children's medical center, Tehran Hospitals for children, were studied. The decayed, missing, filled dmf, DMF and MGI scores were recorded. The CRF children had low prevalence of dental caries, although none of the clinical diagnoses displayed the absence of gingival inflammation. Duration of dialysis and Anemia had a significant influence on the gingival condition. Especially anemia leads to severe gingivitis. The CRF children need careful monitoring and all such patient should be given oral hygiene education as topmost priority.

Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls

“…Mean DMFT score of study and control group was 1.43 and 2.24, respectively, thus demonstrating that CKD patients presented lower caries experience in addition to less decayed and missing teeth than the control group in consistency with the previous findings of Nakhjavani and Bayramy . Lower caries experience in kidney disease patients is likely due to splitting of salivary urea to form ammonia and carbon dioxide that may raise the pH above the critical level for the demineralization of dental enamel .…”

“…Many studies have been documented during the recent times where oral health status of renal disease patients has been assessed. There are also studies that have compared the oral health status of kidney disease patients with healthy individuals and it is evident now that that those with kidney disease have poor oral health when compared to healthy individuals.…”

“…Chronic renal failure (CRF) results from the progressive and chronic deterioration of nephrons, which happens over years . It is an old term and has been replaced with the term chronic kidney disease (CKD) as not all the patients with CRF suffer from renal failure…”

Oral health status in Iranian hemodialysis patients

“…[1–4] The common oral health problems are dry mouth, uremic odor, change in taste, dental calculus, low salivary flow rate, and dental caries. [35–7] These manifestations may be related to a variety of factors, such as a relative state of immune suppression, medications, restriction of oral fluid intake, poor oral hygiene, malnutrition, and mouth breathing. [48] For the evaluation of the hemodialysis (HD) effect on oral and dental health status, it is important to know the oral health status in patients with good dialysis adequacy (Kt/V) compared with poor dialysis adequacy.…”

Estudo do metaboloma de biofluidos em pacientes pediátricos nefropatas e sua associação com a doença periodontal

“…É essencial proceder a determinação da pressão arterial e do estado do volume de líquido extracelular, bem como a obtenção de uma cuidadosa história clínica à procura de sinais e sintomas precoces das complicações da DRC e síndrome urêmica (Nakhjavani;Bayramy, 2007 (Zorzo, 2008).…”