Avaliação das condições orais em pacientes renais

Abstract

Introduction: Chronic renal failure is a metabolic syndrome characterized by progressive and irreversible decline in kidney function. An increasing number of patients requiring care from health professionals , because the decrease in renal function compromises the whole body. About 90% of patients will therefore oral symptoms of the disease or treatment. Objective: Given the importance of these oral manifestations in renal patients, this study conducted an epidemiological survey of oral conditions in dialysis and transplant. Materials and Methods: We performed a review of 46 dental patients being treated at the Clinic of Nephrology Sergipe through the DMFT, the classification of periodontal condition and description of lesions in the oral mucosa. Results: DMFT = 15.3, 5 (10.88 %) persons with generalized gingivitis, 6 (13.04 %) with initial periodontitis , 14 (30.43 %) with moderate periodontitis , 8 (17.39 %) with advanced , 8 periodontitis (17.39 %) with insertion loss of 5 - 7 mm and 5 (10.87 %) people with attachment loss ≥ 7 mm. Among these patients, 2 (4.35 %) with generalized gingival hyperplasia, 3 (6.52 %) with denture stomatitis and 2 (4.35 %) developed exostosis . Conclusion: It is concluded that patients with CRF have a DMFT index of high gravity and a high prevalence of active periodontal disease. Thus, these conditions may represent an oral momentary risk patients for the presence of infectious focus, or even contraindicate a kidney transplant.