Oral and Dental Aspects of Chronic Renal Failure

2005 ◽  
Vol 84 (3) ◽  
pp. 199-208 ◽  
Author(s):  
R. Proctor ◽  
N. Kumar ◽  
A. Stein ◽  
D. Moles ◽  
S. Porter

The present article reviews, in detail, the current knowledge of the oral and dental aspects of chronic renal failure (CRF). Worldwide, increasing numbers of persons have CRF; thus, oral health care staffs are increasingly likely to provide care for patients with such disease. Chronic renal failure can give rise to a wide spectrum of oral manifestations, affecting the hard or soft tissues of the mouth. The majority of affected individuals have disease that does not complicate oral health care; nevertheless, the dental management of such individuals does require that the clinician understand the multiple systems that can be affected. The clinician should also consider the adverse side-effects of drug therapy and appropriate prescribing, in view of compromised renal clearance.

2018 ◽  
Vol 27 (3) ◽  
pp. 293-296
Author(s):  
Yazan Hassona ◽  
Lamis Rajab ◽  
Dina Taimeh ◽  
Crispian Scully

Objectives: The aim of this report is to describe the orofacial manifestations and dental management of a girl with Sanjad-Sakati syndrome. Clinical Presentation and Intervention: The facial features included microcephaly, thin lips, beaked nose, low set ears, and a retrognathic mandible. An oral examination revealed oligodontia/hypodontia, small dental arches, a high arched palate, and a deep overbite and increased overjet. Oral rehabilitation involved full coverage prosthetic crowns on the upper central incisors, stainless steel crowns on the lower molars, and removable partial prostheses to replace missing teeth. Conclusion: Recognition of orofacial features might help in the diagnosis of Sanjad-Sakati syndrome. Dental management of affected patients might be complicated by intellectual, neurological, and endocrine abnormalities.


2019 ◽  
Vol 09 (02) ◽  
pp. 113-116
Author(s):  
Ayesha Basit ◽  
Maham Naeem ◽  
Sadia Mahmood ◽  
Umair Ali ◽  
Mohamamd Nasir

Objective: The aim of the study was to investigate obstetricians’ perspective regarding dental management of pregnant patients. Study Design and Setting: It was questionnaire based study and was directed towards practicing obstetricians of Karachi. Methodology: A seven item questionnaire was formulated by focusing on different aspects of the oral healthcare of pregnant patients including need for regular dental visits, dental radiograph safety, awareness about the adverse pregnancy outcomes due to untreated dental infections, safe use of local anesthesia, antimicrobials and analgesics and the safe trimester for dental extractions. A total of 74 responses received were entered and descriptive analysis was done by SPSS version 16. Results: Out of 74 respondents, n = 47 (63.5%) were aware that untreated dental infection may lead to adverse pregnancy outcome, n = 20 (27%) actually advise regular dental check-ups to their patients; n = 29 (39.2%) respondents were in favor of leaving the decision for dental x-rays to the dentist and n = 14 (18.9%) respondents allowed dental x-rays anytime during pregnancy to their patients. Out of n = 74, n = 21 (28.4%) respondents permitted dental extractions under local anesthesia with adrenaline by taking some precautions. Co-Amoxiclav (Amoxicillin and Clavulanic acid) was considered the safest antimicrobial by n = 45 (60.8%) respondents whereas Acetaminophen as the safest analgesic by n = 66(89.2%) respondents. Conclusion:This study concluded that there was a lack of knowledge among obstetricians regarding oral health care of the pregnant patients and this study emphasized the need for oral health care awareness among obstetricians.


1988 ◽  
Vol 52 (11) ◽  
pp. 637-642 ◽  
Author(s):  
TA Dolan ◽  
CR Corey ◽  
HE Freeman

2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  

2020 ◽  

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.


Author(s):  
Reddy V

Unique is a method that could help diagnosing a psychiatry condition, such as autism, by properly completing a patient's clinical history, with a comprehensive physical examination. It is important to diagnose individuals with autism spectrum, since providing a good oral health care to these people requires that the dentist has specialized knowledge, an increased awareness and care while performing the treatment, and even patient support strategies which must be adapted to each case. Every patient with autism is different to the rest, which makes their diagnosis and treatment difficult. Likewise, not all dentists are qualified to provide a good oral health care to patients diagnosed with autism spectrum, so many families must fight with that barrier every day. Finally, not every person with autism, or their families, are able to afford the cost of dental care with a qualified dentist, which is an important concern for them.


Author(s):  
Reena Sirohi

The outbreak of the coronavirus disease 2019(COVID-19) is a public health emergency of global concern. Based on the data published by the Chinese Center for Disease Control and Prevention (China CDC), the majority of patients were asymptomatic or having mild symptoms but can release an enormous amount of viral load. It posed a worldwide challenge for containment of the infection of COVID-19. As, oral health care providers work in close proximity to the patients’ mouth, they are at higher risk for infection. The aim of this article is to emphasize on special measures to be taken for prevention and potential interventions.


Sign in / Sign up

Export Citation Format

Share Document