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