The Oral and Dental Health Status in Children Under Haemodialysis
Journal Title: Interventions in Pediatric Dentistry Open Access Journal - Year 2019, Vol 2, Issue 4
Abstract
Untreated dental infection in End Stage Renal Disease (ESRD) patients can potentially contribute to morbidity and transplant rejection. There is a need for detailed assessment and provision of good dental care following the diagnosis of chronic renal failure (CRF). Hence, regular clinical review is important for the early identification of oral complications of renal disease. Aim: The present study was carried out at Pediatric Nephrology Unit in Zigzag University Hospital to evaluate the dental health status in CRF children. Design: The dental health status of 50 children under 15 years suffering from CRF were compared results to the results of an age and sex matched control group (n=50). This study was done to evaluate enamel hypoplasia, dmft, DMFT, Gingival Index (GI), Plaque Index (PI), intrinsic and extrinsic stain and the changes in oral microflora including salivary Calcium, phosphorus, alkaline phosphatase and urea concentrations were measured using phenol Sulphur acid colorimetric method. The estimated stimulated salivary pH, buffering capacity and count of Streptococcal Mutants and lactobacilli were determined on selective media of all participants. Results: The study and control groups did not significantly differ in daily tooth brushing frequency and periodic dental check up frequency. Severe enamel hypoplasia was present in study group. The means of dmft, DMFT and PI were significantly greater in the study group (p< 0.05). The differences among groups for GI were statistically insignificant. Our findings of intrinsic brown staining were 22% and 20% extrinsic staining of patients. Conclusion: The salivary pH of patients and salivary levels of cariogenic S. mutans and lactobacilli in the study group were significantly lower than the control group, probably due to increased concentrations of antibacterial chemicals such as urea in the saliva of CRF children. The presence of uremia during the development of dentitions cause Intrinsic staining but black brown extrinsic staining due to using ferrous sulfate syrup for treatment CRF children anemia. Although dental treatment need is not high, these children should receive dental health education, including oral hygiene instruction, in order to improve their overall oral health.
Authors and Affiliations
Shady Ahmed Moussa, Nawras Maher Mostafa, Ahmed Aoun
Keywords
Related Articles
- EP ID EP581125
- DOI 10.32474/IPDOAJ.2019.02.000141
- Views 77
- Downloads 0
Pregnancy in Adolescence and Oral Health Changes
The health in the adolescence has represented a world preoccupation, because the inherent characteristics to that complex period of the human development, associate to a globalized universe, with intense changes in the c...
Surgical Treatment of Natal Teeth from Standpoint of Haemorrhage Control, Infection Prevention and Application on Anaesthetics
Most babies, new-borns, get their first tooth between 5 and 8 months of age. The first teeth that poke through the gums are the central incisors, which are located on the bottom front. While most infants get their first...
Oral Hemangioma Management in Children: A Concise Review
Head and neck region bears the burden of approximately 60% of all the vascular anomalies diagnosed, affecting about 1 in 22 children. These lesions, how much ever small in size, when present on the face or lips they are...
Biphasic Variant of Clear Cell Odontogenic Carcinoma - A Case Report
Clear cell odontogenic carcinoma (CCOC) is a rare neoplasm of the jaw. This report outlines the clinical, histopathological and immuno-histochemical findings of CCOC and describes management strategy according to experie...
Erupted Complex Odontoma in Mandibula: Case Report
Odontomas are the most common odontogenic tumour. They are considered to be hamartous rather than neoplasms. They are consist of dentin, enamel and cementum. They are generally asymptomatic and discovered on routine radi...