21 May 2009
Ann Transplant 2009; 14(1): 49-49 :: ID: 880378
Background: Renal failure is associated with many abnormalities of oral and
dental health status. The aim of this study was to describe the procedures for dental treatment necessary to qualify the patient on the waiting list for kidney transplantation.
Material/Methods: 46-year old patients with ESRD due to reï¬‚ux nephropathy,
dialyzed peritoneally for 8 years. She received a cadaveric kidney transplant in 2003. Her immunosuppression consisted of prograf, MMF and steroids; creatinine after Tx was 1.58 mg/dl to 2 mg/dl 6 months later. Transplant biopsy was performed in 2005 (chronic thrombotic microangiopathy, creatinine=3.5 mg/dl). 4 years after Tx she entered PD programme due to graft failure. She reported to a dental clinic in order to eliminate the odontogenic foci of infection. The pantomography and digital radiography has shown the presence of three teeth classified as potential centres of inï¬‚ammation. The methods of treatment of choice were: 1) surgical extraction, connected with filling of the bone defect with BioOss bone substitute material and application of Bio-Gide collagen membrane; 2) extirpation of inï¬‚amed pulp in anaesthesia; 3) antiseptic endodontic treatment.
Results: Clinical and radiological examination has shown normal bone healing process and condition of periapical tissues.
Conclusions: The elimination of odontogenic centres of inï¬‚ammation in patients before kidney transplant must be preceded by precisely planned multispecialist treatment. Central is the application of principles of odontogenic inï¬‚ammation prophylaxis as soon as in the pre-dialysis period, since periodontal diseases are signifi cant cause of generalized inï¬‚ammation accelerating the progression of atherosclerosis and its complications.
Keywords: Kidney Transplantation
Most Viewed Current Articles
26 Jan 2022 : Review articleRecurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models
Ann Transplant 2022; 27:e934924
29 Dec 2021 : Original articleEfficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...
Ann Transplant 2021; 26:e933588
24 Jul 2020 : Review articleKidney Transplantation in the Times of COVID-19 – A Literature Review
Ann Transplant 2020; 25:e925755