Patients with nephropathy in the dental office*
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2016, Vol 69, Issue 4
Abstract
Organ transplantation is often the only effective treatment for end-stage renal failure. The role of the dentist is to carry out comprehensive sanitation of the oral cavity prior to transplantation surgery, as well as to provide patient education of oral hygiene. Particular attention should be paid to the occurrence of periodontitis, xerostomia and lesions of the oral mucosa. All surgical procedures, subgingival scaling, curettage and administration of drugs to the periodontal pockets require prophylaxis of infective endocarditis. During pharmacotherapy it is necessary to know the interaction between medicines and their possible nephrotoxicity. Immunosuppressive therapy in patients after transplantation often leads to side effects in the oral cavity, for example: gingival overgrowth, opportunistic infections (bacterial, viral and fungal), xerostomia or precancerous conditions. In the initial period after the transplant dental treatment should be limited to first aid in emergencies due to the intake of medicines that reduce blood clotting and their associated increased risk of bleeding. The first dental checkup and necessary treatment should be performed in 3-6 months after transplantation. Detailed interview and thorough physical examination should be extended to additional tests (mycological,bacteriological, virological, serological, molecular PCR, and histopathology)
Authors and Affiliations
Agnieszka Kaja, Marcin Adamiecki, Anna Dudko
Keywords
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