2022, Number 2
<< Back Next >>
Rev Mex Med Forense 2022; 7 (2)
Oral manifestations among patients with renal disease in a second level care hospital from Acapulco, Guerrero
Arredondo-Serrano RG, Juárez-Medel CA, Gutiérrez-Ventura E, García-De la Cruz R
Language: Spanish
References: 21
Page: 93-104
PDF size: 344.24 Kb.
ABSTRACT
Introduction: Patients with renal disease show a wide range of clinical semiology. At the oral level, the clinical manifestations derive as a consequence of the renal disease and the treatment intended for it.
Objective: To describe the most frequent oral manifestations among patients with renal disease in a second level care hospital from Acapulco, Guerrero.
Material and methods: Cross-sectional study on a convenience sample of 58 patients, reviewed during May to July 2021. The electronic clinical record obtained sociodemographic data, comorbidities and characterization of renal disease. As for the clinical findings of oral manifestations, they were stratified into soft tissue, hard tissue and salivary gland and taste alterations. Univariate analysis was obtained with the Real Statistics Excel package.
Results: Several oral manifestations were reported simultaneously, being xerostomy the most frequent with 79% (45/58), followed by caries and mucosal pallor with 75% (43/58) and 46% (27/58), respectively.
Conclusion: Some manifestations found were similar to those reported in other studies. The study will serve to follow a line of research on the subject that in the future will contribute to find associated factors.
REFERENCES
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. [website]. KDIGO Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2013;3:1-150. [access date: december 26, 2021]. URL: https://www.guidelinecentral.com/guideline/25092/
GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2020;395:709–33.
Encuesta Nacional de Salud y Nutrición. Resultados nacionales 2012. [website]. Instituto Nacional de Salud Pública. 1ra edición, 2012. [access date: december 26, 2021]. URL: https://ensanut.insp.mx/encuestas/ensanut2012/doctos/informes/ENSANUT2012ResultadosNacionales.pdf
Federación Internacional de Diabetes. [website]. Atlas de la diabetes de la FID. 9na edición, 2019. [access date: december 29, 2021]. URL: https://diabetesatlas.org/upload/resources/material/20200302_133352_2406-IDF-ATLAS-SPAN-BOOK.pdf
López-Cervantes M, Rojas-Russell ME, Tirado-Gómez LL, Durán-Arenas L, Pacheco-Domínguez RL, Venado Estrada AA, et al. [website]. Enfermedad renal crónica y su atención mediante tratamiento sustitutivo en México. México D.F., Facultad de Medicina, Universidad Nacional Autónoma de México. 1ra edición, 2010. [access date: december 29, 2021]. URL: http://www.dged.salud.gob.mx/contenidos/dess/descargas/estudios_especiales/ERC_AMTSM.pdf
Ruokonen H, Nylund K, Furuholm J, Meurman JH, Sorsa T, Kotaniemi K, Ortiz F, Heikkinen AM. Oral Health and Mortality in Patients With Chronic Kidney Disease. J. Periodontol. 2017;88(1):26-33.
Palmer SC, Ruospo M, Wong G, Craig JC, Petruzzi M, De Benedittis M, et al. ORAL-D Study Investigators. Dental Health and Mortality in People With End-Stage Kidney Disease Treated With Hemodialysis: A Multinational Cohort Study. Am. J. Kidney Dis. 2015;66(4):666-76.
Beela RA, Sudheer K, Venkata SK, Channamsetty P, Naresh S, Nalla S, et al. Oral and salivary changes in patients with chronic kidney disease:A clinical and biochemical study. J. Indian Soc. Periodontol. 2015;19(3):297-301.
Honarmand M, Farhad-Mollashahi L, Nakhaee A, Sargolzaie F. Oral manifestation and salivary changes in renal patients undergoing hemodialysis. J. Clin. Exp. Dent. 2017;9(2):207-10.
Schmalz G, Kauffels A, Kollmar O, Slotta JE, Vasko R, Müller GA, et al. Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation. BMC Oral Health. 2016;16:72.
Lecca-Rojas MP, Meza-Mauricio J, Ríos-Villasis K. Manifestaciones bucales en pacientes con insuficiencia renal crónica en hemodiálisis. Rev. Estomatol. Herediana. 2014;24(3):147-154.
Vizuete-Bolaños MX, Dona-Vidale MA, Gordon-Navarrete DP, Sempertegui-Jácome DA, Sosa-Carrero MA, Singo-Salazar CA. Estado de salud bucal en pacientes con insufi ciencia renal crónica bajo tratamiento con hemodiálisis. Rev. Odontol. Mex. 2018;22(4):206-213.
Castillo LG, Martínez CA, Ochoa C, Pérez JJ, Bayardo RA. Manifestaciones orales en niños con enfermedad renal crónica. Rev. Tamé. 2016;4(12):417-421.
Jover-Cerveró A, Bagán JV, Jiménez Soriano Y, Poveda Roda R. Dental management in renal failure: patients on dialysis. Med. Oral Patol. Oral Cir. Bucal. 2008;13(7):419-26.
Microsoft Corporation. Microsoft Excel [website]. 2018. URL: https://office.microsoft.com/excel
Zaiontz C. Real Statistics Using Excel. 2020. URL: www.real-statistics.com
Diario Oficial de la Federación. [website] Norma Oficial Mexicana NOM-004-SSA3-2012, del expediente clínico. [access date: december 29, 2021]. Disponible en: http://dof.gob.mx/nota_detalle_popup.php?codigo=5272787
Kazancioglu R. Risk factors for chronic kidney disease: an update. Kidney International Supplements. 2013;3:368–371.
Fraser S, Blakeman T. Chronic kidney disease: identification and management in primary care. Pragmat. Obs. Res. 2016;8:21-32.
Aguilera C. Manifestaciones orales en la insuficiencia renal. Cient. Dent. 2012;9(1):49-53.
Blue C, Isringhausen K, Dils E. Raising oral health awareness among nephrology nurses. J. Dent. Hyg. 2011;85(2):151-7.