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Dental Renal

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By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
Fahimeh Rezazadeh, Abdollah Bazargani, Jamshid Roozbeh-Shahroodi, Ali Pooladi, Peyman Arasteh, Khosro Zamani
INTRODUCTION: Diabetes is associated with higher rates of caries, on the other hand some studies have shown that renal failure can be protective against dental caries. OBJECTIVES: In this study we compared oral Lactobacillus and Streptococcus mutans between diabetic dialysis and non-diabetic dialysis patients and the normal population. PATIENTS AND METHODS: During November 2014 to January 2014, 85 people that referred to our medical care center entered the study...
2016: Journal of Renal Injury Prevention
Masami Yoshioka, Yasuhiko Shirayama, Issei Imoto, Daisuke Hinode, Shizuko Yanagisawa, Yuko Takeuchi, Takashi Bando, Narushi Yokota
AIM: To investigate awareness and attitudes about preventive dental visits among dialysis patients; to clarify the barriers to visiting the dentist. METHODS: Subjects included 141 dentate outpatients receiving hemodialysis treatment at two facilities, one with a dental department and the other without a dental department. We used a structured questionnaire to interview participants about their awareness of oral health management issues for dialysis patients, perceived oral symptoms and attitudes about dental visits...
September 6, 2016: World Journal of Nephrology
Yazan Hassona, Najla Kasabreh, Hanin Hammoudeh, Crispian Scully
Bardet Biedl syndrome is a rare autosomal recessive disorder with variable clinical presentation and challenging diagnosis. Recognition of orofacial features might help in the diagnosis. Dental management of affected patients might be complicated by renal, cardiac, metabolic, neurosensory, and cognitive defects.
August 29, 2016: Special Care in Dentistry
Gerhard Schmalz, Anne Kauffels, Otto Kollmar, Jan E Slotta, Radovan Vasko, Gerhard A Müller, Rainer Haak, Dirk Ziebolz
BACKGROUND: Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT). METHODS: Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL])...
2016: BMC Oral Health
K Majchrzak, E Mierzwinska-Nastalska, A Chmura, A Kwiatkowski, L Paczek, G Mlynarczyk, K Szymanek-Majchrzak
BACKGROUND: Biofilm occurring on removable prostheses is a reservoir of bacterial flora, consisting of both physiological and pathogenic multidrug-resistant microorganisms. Patients undergoing dialysis and organ transplantation are particularly prone to bacterial infections, which can have its source in denture plaque. This study was a comparison of the composition of staphylococcal flora within the surface of the pharyngeal mucous membrane as well as denture plaque in kidney transplant recipients...
June 2016: Transplantation Proceedings
Scott Howell, Maureen Munnelly Perry, Nipa Patel
RATIONALE/BACKGROUND: Approximately 14% of Americans are living with chronic kidney disease (CKD). The prevalence of end stage renal disease (ESRD), the result of progressing CKD continues to rise by 21,000 per year.Currently the only antibiotic prophylaxis guidelines for patients with end-stage renal disease undergoing dental treatment were published by the AHA in 2003. Presented in three parts, the first part of this study found no consistent protocols amongst U.S. dental schools. The goal of the second part of the project was to determine the current protocol being used to treat ESRD patients at accredited U...
August 5, 2016: Special Care in Dentistry
Danielle Ní Chróinín, Adrian Montalto, Shahrzad Jahromi, Nicholas Ingham, Alexander Beveridge, Peter Foltyn
OBJECTIVES: To investigate oral health status and abnormalities in older adults admitted acutely to the hospital and explore the association with common medical comorbidities. DESIGN: Cross-sectional study. SETTING: Hospital. PARTICIPANTS: All individuals aged 70 and older (mean age 84.4, 61.4% female) admitted to a geriatric service over 3 months (N = 202). MEASUREMENTS: In-person assessment using the Oral Health Assessment Tool (OHAT) (range 0-2, 2 = poorest) for lips, tongue, gums and soft tissue, saliva, teeth, dentures, oral cleanliness, and dental pain...
August 2016: Journal of the American Geriatrics Society
Vera Krane, Christoph Wanner
No abstract text is available yet for this article.
October 2016: Nephrology, Dialysis, Transplantation
Akihiro Yoshihara, Masanori Iwasaki, Hideo Miyazaki, Kazutoshi Nakamura
OBJECTIVES: The purpose of this study was to evaluate the reciprocal effects of chronic kidney disease (CKD) and periodontal disease. MATERIAL AND METHODS: A total of 332 postmenopausal never smoking women were enrolled, and their serum high-sensitivity C-reactive protein, serum osteocalcin and serum cystatin C levels were measured. Poor renal function was defined as serum cystatin C > 0.91 mg/l. Periodontal disease markers, including clinical attachment level and the periodontal inflamed surface area (PISA), were also evaluated...
September 2016: Journal of Clinical Periodontology
Ursula Reyes, Ann Eshenaur Spolarich, Phuu Pwint Han
Candidates and recipients of kidney transplants are at high risk for oral infections due to systemic co-morbidities, and disease and drug-induced immunosuppression. Developing oral infections while on the waiting list can jeopardize candidacy for receiving a kidney, and post-operatively increases the chance for organ rejection. Therefore, it is imperative to minimize oral disease risks in this population. A comprehensive, oral preventive care protocol is presented to guide dental professionals with patient management throughout the process of care...
April 2016: Journal of Dental Hygiene: JDH
J Limeres, J F Garcez, J S Marinho, A Loureiro, M Diniz, P Diz
OBJECTIVE: This article sets out to evaluate the prevalence and aetiopathogenesis of edentulism in patients on haemodialysis. SUBJECTS AND METHODS: The study group comprised 44 adult patients with end-stage renal disease (ESRD) on haemodialysis. A control group was formed of 44 individuals matched for age and sex and with a glomerular filtration rate >90 ml min(-1) . All participants underwent intra-oral examination, gathering information on dental and periodontal status, and a saliva sample was taken to determine saliva debit and its biochemical composition...
September 2016: Oral Diseases
Suetonia C Palmer, Marinella Ruospo, Germaine Wong, Jonathan C Craig, Massimo Petruzzi, Michele De Benedittis, Pauline Ford, David W Johnson, Marcello Tonelli, Patrizia Natale, Valeria Saglimbene, Fabio Pellegrini, Eduardo Celia, Ruben Gelfman, Miguel R Leal, Marietta Torok, Paul Stroumza, Luc Frantzen, Anna Bednarek-Skublewska, Jan Dulawa, Domingo Del Castillo, Amparo G Bernat, Jorgen Hegbrant, Charlotta Wollheim, Staffan Schon, Letizia Gargano, Casper P Bots, Giovanni F M Strippoli
BACKGROUND: Oral disease is a potentially treatable determinant of mortality and quality of life. No comprehensive multinational study to quantify oral disease burden and to identify candidate preventative strategies has been performed in the dialysis setting. METHODS: The ORAL disease in hemoDialysis (ORALD) study was a prospective study in adults treated with hemodialysis in Europe (France, Hungary, Italy, Poland, Portugal and Spain) and Argentina. Oral disease was assessed using standardized WHO methods...
October 2016: Nephrology, Dialysis, Transplantation
Bruno G Loos
No abstract text is available yet for this article.
June 2016: Journal of Clinical Periodontology
Lujayn Elkaiali, Katelin Ratliff, Hassan Oueis
It is common for oral health and dental care to be considered a lesser priority for children with complex medical histories than other aspects of their health care. Often, these patients are at a high risk for caries and infection due to poor oral health practices at home, special or restricted diets, and no early establishment of a dental home for routine dental care. Unfortunately, many of these patients present to their first dental visits with caries and require aggressive treatment, such as extractions instead of pulp therapy, or crowns instead of fillings, due to their high caries risk and the difficulty in safely managing them medically during treatment...
January 2016: Journal of the Michigan Dental Association
Fulvia Costantinides, Roberto Rizzo, Lorenzo Pascazio, Michele Maglione
BACKGROUND: The aim of this paper is to contribute to the discussion on how to approach patients taking new orally administered anticoagulants (NOAs) dabigatran etexilate (a direct thrombin inhibitor), rivaroxaban and apixaban (factor Xa inhibitors), before, during and after dental treatment in light of the more recent knowledges. DISCUSSION: In dentistry and oral surgery, the major concerns in treatment of patients taking direct thrombin inhibitors and factor Xa inhibitors is the risk of haemorrhage and the absence of a specific reversal agent...
2016: BMC Oral Health
Alexandre Franco Miranda, Erica Negrini Lia, Tatiane Maciel de Carvalho, Cinthia Gonçalves Barbosa de Castro Piau, Priscila Paganini Costa, Ana Cristina Barreto Bezerra
Oral hygiene deficiency is common in patients treated in ICUs and it enables biofilm colonization by microorganisms that lead to respiratory infections. A 30-year-old female patient with chronic renal failure was hospitalized. Dental procedures were performed in the ICU and contributed to the patient's health after a few days.
January 2016: Clinical Case Reports
Masanari Kuwabara, Yoko Motoki, Kayoko Ichiura, Mizue Fujii, Chisato Inomata, Hiroki Sato, Taichiro Morisawa, Yoshinori Morita, Kazumichi Kuwabara, Yosikazu Nakamura
OBJECTIVES: To clarify the association between toothbrushing and risk factors for cardiovascular disease--namely, hypertension (HT), diabetes mellitus (DM), dyslipidaemia (DL), hyperuricaemia (HUA) and chronic kidney disease (CKD). DESIGN: A large-scale, single-centre, cross-sectional study. SETTING: St Luke's International Hospital, Center for Preventive Medicine, Tokyo, Japan, between January 2004 and June 2010. PARTICIPANTS: This study examined the toothbrushing practices of 85,866 individuals according to the 3-category frequency criterion: 'after every meal', 'at least once a day' and 'less than once a day'...
2016: BMJ Open
Praveen Sharma, Thomas Dietrich, Charles J Ferro, Paul Cockwell, Iain L C Chapple
INTRODUCTION: Periodontitis may add to the systemic inflammatory burden in individuals with chronic kidney disease (CKD), thereby contributing to an increased mortality rate. This study aimed to determine the association between periodontitis and mortality rate (all-cause and cardiovascular disease-related) in individuals with stage 3-5 CKD, hitherto referred to as "CKD". METHODS: Survival analysis was carried out using the Third National Health and Nutrition Examination Survey (NHANES III) and linked mortality data...
February 2016: Journal of Clinical Periodontology
Mario Dioguardi, Giorgia Apollonia Caloro, Giuseppe Troiano, Giovanni Giannatempo, Luigi Laino, Massimo Petruzzi, Lorenzo Lo Muzio
The incidence of chronic renal failure (CRF) is approximately 200 cases per million people in different Western countries. Recent data indicate that the incidences of these pathologies are increasing. Ninety percent of patients with CRF report oral signs and symptoms that affect both the bone and soft tissues. A broad range of lesions may be observed in chronic uratemia patients, including the following: gingival hyperplasia, enamel hypoplasia, petechiae, gingival bleeding, and others lesions. These patients require various types of treatment ranging from dietary and lifestyle changes to dialysis and kidney transplantation...
2016: Renal Failure
Karita Nylund, Jukka H Meurman, Anna Maria Heikkinen, Eero Honkanen, Maarit Vesterinen, Hellevi Ruokonen
OBJECTIVE: Oral and periodontal infection load need to be treated in the predialysis stage among chronic kidney disease (CKD) patients in order to avoid later complications in dialysis or transplantation. Periodontal health was studied by specifically comparing diabetic nephropathy patients with those with other kidney disease. METHOD AND MATERIALS: This descriptive retrospective study comprised 144 predialysis patients (47 women), aged 23 to 83 years, examined at the Helsinki University Hospital, Finland...
November 2015: Quintessence International
2015-09-10 11:48:43
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