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Revista Odontológica Mexicana Órgano Oficial de la Facultad de Odontología UNAM

ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM
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2009, Number 3

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Rev Odont Mex 2009; 13 (3)

Odontological management in patients with chronic renal insufficiency: Case report

Alberto GB, Zayas CRE, Fragoso RR, Cuairán RV, Hernández RA
Full text How to cite this article

Language: Spanish
References: 10
Page: 171-176
PDF size: 199.18 Kb.


Key words:

Renal chronic insufficiency, odontology, oral rehabilitation, prevention.

ABSTRACT

Renal Insufficiency is the incapability of the kidneys to excrete the products of waste of the organism, to concentrate urine and to preserve the electrolytes. The symptoms clinically presented are anemia, adynamia, fatigue, shortness of breath, anorexia, nutritional disorders, abnormalities of the metabolism, and of the homeostasis. Oral manifestations of renal insufficiency are dysgeusia, cacogeusia, halitosis, sialorrhea, candidiasis, enamel hypoplasia and low caries rate. A case of a 14-year-old female patient with diagnosis of renal chronic terminal insufficiency in protocol for renal transplant treated at the Hospital Infantil de México Federico Gómez (HIMFG) is presented. Previous consultations with the Department of Nefrology, it was decided to proceed with complete oral rehabilitation and also a strict preventive plan was initiated, including pit and fissure sealing, toothbrush technique, topical dental fluoride and checkups every 3 months. The participation of the Pediatric Dentistry in preparing patients submitted to dialysis and hemodialysis is very important.


REFERENCES

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  2. Burkart JM et al. Peritoneal dialysis, in Brenner and Rector’s The Kidney. 7th ed, BM Brenner (ed). Philadelphia, Saunders, 2004.

  3. De Rossi SS, Glick M. Dental considerations for the patient with renal disease receiving hemodialysis. JADA 1996; 127: 211-219.

  4. Diaz-Buxo JA. Early referral and selection of peritoneal dialysis as a treatment modality. Nephrol Dial Transplant 2000; 15: 147.

  5. Forni LG, Hilton PJ. Current concepts: Continuous hemofiltration in the treatment of acute renal failure. N Engl J Med 1997; 336: 1303.

  6. Meyer MM. Renal replacement therapies. Crit Care Clin 2000; 16: 29.

  7. Tinanoff N. Pediatric dentistry. Clinical decision making for caries management in children. 2002; 24(5): 386-392.

  8. Little JW, Falace DA, Millar CS, Rhodus. Tratamiento odontológico del paciente bajo tratamiento médico. 5ta. Harcourt/Mosby; España 2000: 245-251.

  9. Díaz LM, Castellanos JL. Trastornos de la hemostasia inducidos por el empleo de medicamentos. Medicina Oral 1999; 4: 552-563.

  10. Kho HS, Lee SW, Chung SC, Kim YK. Oral manifestations and salivary flow rate, pH, and buffer capacity in patients with end-stage renal disease undergoing hemodialysis. Oral Surg Oral Med Pathol Radiol Endod 1999; 88: 316-319.




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Rev Odont Mex. 2009;13