ORAL MANIFESTATIONS AND DENTAL MANAGEMENT IN CHILDREN WITH CHRONIC RENAL FAILURE – A SYSTEMATIC REVIEW

Abstract

Objectives: The purpose of this review was evaluating the literature regarding possible correlations of chronic renal failure in children with oral health and methods of preventing and managing oral manifestations. Materials and method: Articles from the Medline database have been evaluated, searched via Pubmed and using MeSH terms. Results: Since oral manifestations are often recorded in patients with chronic renal failure, it is of great importance to prevent and correctly manage them, which can only happen after an exact knowledge of the evolutionary status of the disease. Also, a correct appreciation of the risks that a dental intervention, albeit minimal, could impose over the already impaired organism, is crucial. The dentist should follow the biological constants of the patient (bleeding time, hematocrit, hemoglobin, prothrombin time, blood pressure etc.) and any dental treatment requires the approval of the nephrologist who has the patient under supervision and general treatment. Conclusions: There are numerous studies which evaluate the alteration of oral health in adults with chronic renal failure. To demonstrate an association between oral manifestations observed in chronic renal failure in children, further studies are necessary to determine the interdependence of these factors and the methods of prevention and treatment.

Keywords

• children
• chronic renal failure
• oral manifestations
• dialysis.