Dental Care for Patients with End-Stage Renal Disease and Undergoing Hemodialysis

Author:

Costantinides Fulvia1ORCID,Castronovo Gaetano1ORCID,Vettori Erica1ORCID,Frattini Costanza1ORCID,Artero Mary Louise2,Bevilacqua Lorenzo1ORCID,Berton Federico1ORCID,Nicolin Vanessa1,Di Lenarda Roberto1ORCID

Affiliation:

1. Unit of Periodontology and Dental Hygiene, School of Dental Sciences, Department of Medical, Surgical and Health Sciences, University of Trieste, Italy

2. Division of Nephrology and Dialysis, “Maggiore” University Hospital, Trieste, Italy

Abstract

Chronic renal failure is a progressive disease characterized by a gradual destruction of nephrons and a consequent reduction of kidney function. End-stage renal disease (ESRD) necessitates renal replacement therapy as peritoneal dialysis, hemodialysis, or transplantation. Patients affected by ESRD or in hemodialysis are at risk for developing a number of comorbidities including hypertension, anemia, risk of bleeding, susceptibility to infection, medication side effects, and oral manifestations associated with the disease itself and with hemodialysis treatment. In this context, oral diseases represent a potential and preventable cause of poor health outcomes in people with ESRD due to their relation to infection, inflammation, and malnutrition. The aim of this article was to review ESRD and hemodialysis-associated manifestations and to describe the dental operative protocols for patients awaiting kidney transplantation in light of the most recent literature.

Publisher

Hindawi Limited

Subject

General Dentistry

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