Dental and Medical Problems
2016, vol. 53, nr 3, July-September, p. 419–423
doi: 10.17219/dmp/63303
Publication type: review
Language: English
License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)
Download citation:
Oral Health in Chronic Kidney Disease Patients: A Literature Review
Stan jamy ustnej u pacjentów z przewlekłą niewydolnością nerek – przegląd piśmiennictwa
1 Department of Conservative Dentistry and Periodontology, Poznan University of Medical Sciences, Poznań, Poland
2 Department of Nephrology, Transplantology and Internal Diseases, Poznan University of Medical Sciences, Poznań, Poland
Abstract
Chronic kidney disease (CKD), which is becoming an important public health issue worldwide, is a broad term used to describe progressive structural and functional kidney disorders that may be accompanied by a decrease in the glomerular filtration rate (GFR), and that have lasted for at least 3 months. The reason for concern about patients with CKD stems from the impairment in everyday functioning caused by this disease, as well as from the complexity of treatment needed in these cases. Contemporary literature indicates that there are several oral health-related symptoms that may be associated with CKD and, therefore, it may be the dental practitioner who refers the patient for comprehensive specialist care in the earlier stages of the disease. The aim of the article is to present a concise literature review concerning the symptoms in the oral cavity that may be associated with CKD. The authors discussed the occurrence of characteristic features in dental hard tissues, the periodontium, and oral mucosa. It can be established on the basis of the literature that some characteristic features in the dental clinical picture may be observed in these patients, and that dental clinicians should be made aware of this fact.
Key words
chronic kidney disease, oral mucosa, chronic periodontitis, dental caries, oral health
Słowa kluczowe
przewlekła niewydolność nerek, błona śluzowa jamy ustnej, przewlekłe zapalenie przyzębia, próchnica zębów, zdrowie jamy ustnej
References (31)
- Levey A.S., Coresh J.: Chronic kidney disease. Lancet, 2012, 379 (9811), 165–180.
- Levin A., Hemmelgarn B., Culleton B., Tobe S., McFarlane P., Ruzicka M., Burns K., Manns B., White C., Madore F., Moist L., Klarenbach S., Barrett B., Foley R., Jindal K., Senior P., Pannu N., Shurraw S., Akbari A., Cohn A., Reslerova M., Deved V., Mendelssohn D., Nesrallah G., Kappel J., Tonelli M.: Guidelines for the management of chronic kidney disease. CMAJ, 2008, 179, 1154–1162.
- Tomino Y.: Pathogenesis and treatment of chronic kidney disease: A review of our recent basic and clinical data. Kidney Blood Press. Res. 2014, 39, 450–489.
- Ruggenenti P., Schieppati A., Remuzzi G.: Progression, remission, regression of chronic renal diseases. Lancet, 2001, 357 (9268): 1601–1608.
- El Nahas A.M., Bello A.K.: Chronic kidney disease: the global challenge. Lancet, 2005, 365 (9456), 331–340.
- Warady B.A., Chadha V.: Chronic kidney disease in children: The global perspective. Pediatr. Nephrol. 2007, 22, 1999–2009.
- Laisi T.J., Raji Y.R., Salako B.L.: Salivary creatinine and urea analysis in patients with chronic kidney disease: A case control study. BMC Nephrol. 2016, 17: 10. DOI: 10.1186/s12882-016-0222-x.
- Tadakamadla J., Kumar S., Mamatha G.P.: Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls. Spec. Care Dentist. 2014, 34, 122–126.
- Al Nowaiser A., Roberts G.J., Trompeter R.S., Wilson M., Lucas V.S.: Oral health in children with chronic renal failure. Pediatr. Nephrol. 2003, 18, 39–45.
- Andrade M.R.T.C., Antunes L.A.A., de Araújo Soares R.M., Leão A.T.T., Maia L.C., Primo L.G.: Lower dental caries prevalence associated to chronic kidney disease: A systematic review. Pediatr. Nephrol. 2014, 29, 771–778.
- Beto J.A., Schury K.A., Bansal V.K.: Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: A narrative review and commentary. Int. J. Nephrol. Renovasc. Dis. 2016, 9, 21–33.
- Davidovich E., Davidovits M., Eielman E., Schwartz Z., Bimstein E.: Oral findings and periodontal status in children, adolescents and young adults suffering from renal failure. J. Clin. Periodontol. 2005, 32, 1076–1082.
- Lucas V.S., Roberts G.J.: Oro-dental health in children with chronic renal failure and after renal transplantation: A clinical review. Pediatr. Nephrol. 2005, 20, 1388–1394.
- Warady B.A., Koch M., O’Neal D.W., Higginbotham M., Harris D.J., Hellerstein S.: Plasma fluoride concentration in infants receiving long-term peritoneal dialysis. J. Pediatr. 1989, 115, 436–439.
- Pizzo G., Guiglia R., Russo L.L., Campisi G.: Dentistry and internal medicine: from the focal infection theory to the periodontal medicine concept. Eur. J. Intern. Med. 2010, 21, 496–502.
- Wahid A., Chaudry S., Ehsan A., Butt S., Kahn A.A.: Bidirectional relationship between chronic kidney disease & periodontal disease. Pak. J. Med. Sci. 2013, 29, 1, 211–215.
- Duran I., Erdemir E.O.: Periodontal treatment needs of patients with renal disease receiving haemodialysis. Int. Dent. J. 2004, 54, 274–278.
- Chambrone L., Foz A.M., Gugliemetti M.R., Pannuti C.M., Artese H.P., Feres M., Romito G.A.: Periodontitis and chronic kidney disease: A systematic review of the association of diseases and the effect of periodontal treatment on estimated glomerular filtration rate. J. Clin. Periodontol. 2013, 40, 443–456.
- Ioannidou E., Swede H.: Disparities in periodontitis prevalence among chronic kidney disease patients. J. Dent. Res. 2011, 90, 730–734.
- Craig R.G.: Interactions between chronic renal disease and periodontal disease. Oral Dis. 2008, 14, 1–7.
- Radwan-Oczko M., Boratyńska M., Ziętek M.: Clinical evaluation of marginal parodontium condition in patients after kidney graft treated with calcineurine inhibitors and calcium channel blockers. Bull Group Int. Rech. Sci. Stomatol. Odontol. 2004, 46, 46–51.
- Bots C.P., Poorterman J.H., Brand H.S., Kalsbeek H., Amerongen B.M., Veerman E.C.I., Nieuw Amerongen A.V.: The oral health status of dentate patients with chronic renal failure undergoing dialysis therapy. Oral Dis. 2006, 12, 179–180.
- Akar H., Akar G.C., Carrero J.J., Stenvinkel P., Lindholm B.: Systemic consequences of poor oral health in chronic kidney disease patients. Clin. J. Am. Soc. Nephrol. 2011, 6, 218–226.
- Cohen G., Haag-Weber M., Hörl W.H.: Immune dysfunction in uremia. Kidney Int. Suppl. 1997, 62, s79–s82.
- Borawski J., Wilczyńska-Borawska M., Stokowska W., Myśliwiec M.: The periodontal status of pre-dialysis chronic kidney disease and maintenance dialysis patients. Nephrol. Dial. Transplant. 2007, 22, 457–464.
- Somacarrera M.L., Hernández G., Acero J., Moskow B.S.: Factors related to the incidence and severity of cyclosporininduced gingival overgrowth in transplant patients. A longitudinal study. J. Periodontol. 1994, 65, 671–675.
- Proctor R., Kumar N., Stein A., Moles D., Porter S.: Oral and dental aspects of chronic renal failure. J. Dent. Res. 2005, 84, 199–208.
- Kho H.S., Lee S.W., Chung S.C., Kim Y.K.: Oral manifestations and salivary flow rate, pH, and buffer capacity in patients with end-stage renal disease undergoing hemodialysis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 1999, 88, 316–319.
- De la Rosa García E., Mondragón Padilla A., Aranda Romo S., Bustamante Ramírez M.A.: Oral mucosa symptoms, signs and lesions, in end stage renal disease and non-end stage renal disease diabetic patients. Med. Oral Patol. Oral Cir. Bucal. 2006, 11, E467–E473.
- Swapna L.A., Reddy R.S., Ramesh T., Reddy R.L., Vijayalaxmi N., Karmakar P., Pradeep K.: Oral health status in haemodialysis patients. J. Clin. Diagn. Res. 2013, 7, 2047–2050.
- Jadeja Y.P., Kher V.: Protein energy wasting in chronic kidney disease: An update with focus on nutritional interventions to improve outcomes. Ind. J. Endocrinol. Metab. 2012, 16, 246–251.