32. Renal disease

CHAPTER 32. Renal disease
Box 32.1

Aspects of renal disease affecting dental management
• Heparinisation before dialysis
• Possible hepatitis B or C carriage after chronic dialysis
• Permanent venous fistulae susceptible to infection
• Secondary hyperparathyroidism
• Immunosuppressive treatment for nephrotic syndrome or transplant patients
• Oral lesions due to drugs, particularly for immunosuppression
• Lower doses or withholding of many drugs: e.g. some cephalosporins and tetracyclines
• Oral lesions of chronic renal failure (Box 32.2)

CHRONIC RENAL FAILURE

Some patients are unsuitable for, or unable to obtain, dialysis or a transplant. They can suffer a variety of oral effects (Box 32.2).
Box 32.2

Oral changes in renal failure
• Mucosal pallor (anaemia)
• Xerostomia
• Purpura
• Mucosal ulceration
• Thrush or bacterial plaques
• White epithelial plaques (Ch. 15)
• Giant-cell lesions of the jaws (secondary hyperparathyroidism)
Dental management of patients with renal disease, but particularly chronic renal failure, may be affected by many factors (Box 32.3).
Only gold members can continue reading. Log In or Register to continue

Stay updated, free dental videos. Join our Telegram channel

Jan 9, 2015 | Posted by in Oral and Maxillofacial Pathology | Comments Off on 32. Renal disease

VIDEdental - Online dental courses

Get VIDEdental app for watching clinical videos