DENTAL AND PERIODONTAL HEALTH IN END STAGE RENAL DISEASE PATIENTS

Abstract

In end stage renal disease, a whole range of changes occur in the oral cavity concerning the teeth, oral mucosa, bone, periodontium, salivary glands or temporomandibular joint. Adults with chronic renal failure have more severe oral disease than the general population Material and methods 39 patients undergoing dialysis and requiring oral surgery procedures were evaluated in terms of age, gender, aetiology of renal failure, duration of dialysis, reason for admission, local status and treatment. Results 32 patients presented for complications of carious disease, from which 29 had non-restorable teeth. Severe periodontitis (attachment loss greater than 5mm) was recorded in 17,94 % of cases, while moderate periodontitis (attachment loss 3-5mm) in 54.4% cases. 61.5% of patients presented maxillary or mandibular terminal edentatulism. Conclusions Poor oral health is common among ESRD patients and regular dental consultation should be integrated into care of chronic kidney disease.

Keywords

• dialysis
• oral health
• surgical management