Property | Value |
Name | Oral manifestations of chronic renal insufficiency in patients under different modalities of treatment |
Description | An original article:-Oral Medicine and Radiology Shashi Rani* Professor, Department of Oral Medicine and Radiology, Institute of Dental Sciences(IDS),Siksha O Anusandhan University,KhandagiriSquare, Bhubaneswar-751030,Orissa, India.
Abstract:- Background: The oral cavity is a mirror of the body which serves as a diagnostic indicator for systemic diseases. Like other systemic diseases, renal diseases also have characteristic oral manifestations. The oral cavity may show a variety of changes as the body progresses from an azotemic to a uremic state in patients with impaired renal function. Aim: To study the various oral manifestations in patients with chronic renal failure (CRF), hemodialysis patients and those with renal transplants. Methods: A study of 40 cases of chronic renal failure (on conservative care, hemodialysis and post transplant) was undertaken. These patients were divided into three groups based on the treatment modality. A thorough intraoral and extra-oral examination was done on a dental chair using diagnostic instruments and changes in the oral mucosa and teeth were recorded with the help of nephrologists following all protocols. Hematologic and biochemical investigations were done. Results: The most common cause of renal failure was found to be chronic glomerulonephritis followed by hypertensive nephro-sclerosis obstructive uropathy diabetic nephropathy and reflux nephropathy. Xerostomia and halitosis were reported by 5 (62.5%) patients from Group I and 3 (15%) patients from Group II and 1 case from Group III. 1 case from Group reported increase in salivation. Conclusion: The clinical changes seen in the present study were not specific for chronic renal insuffi-ciency as similar manifestations may be exhibited by some other metabolic disorders too. But these changes when correlated to the biochemical profiles and the treatment modalities, proved to be significant prognostic markers which may help in better management of these patients.
Key words:- Chronic renal failure, Hemodialysis, Oral manifestations, Post transplant. |
Filename | Shashi Rani(260-268).pdf |
Filesize | 1.51 MB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 01/04/2013 00:00 |
Viewers | Everybody |
Maintained by | Editor |
Hits | 2191 Hits |
Last updated on | 01/01/2013 17:43 |
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