» Articles » PMID: 38510849

Latest Concepts in the Endodontic Management of Kidney Patients

Overview
Journal Cureus
Date 2024 Mar 21
PMID 38510849
Authors
Affiliations
Soon will be listed here.
Abstract

Doubtlessly, kidney patients present a common challenge in endodontic practice, so specialists in this field should know and follow several key points regarding this group of medically compromised patients. This review paper aims to explain kidney disease and its complications, as well as notify and discuss the latest concepts on anesthesia, pain management, antibiotic prophylaxis/stewardship, and the risk of viral diseases for these patients, and also the oral manifestations of kidney diseases that may guide endodontists to diagnose kidney intervention and prevent hazardous consequences that may happen during or following endodontic practice on these patients. For this purpose, relevant keywords were searched on Scopus, PubMed, Medline, and Web of Science to find published papers from 1980 to July 2023. Based on the quality, validity, and novelty 57 published articles were selected to provide this review to notify the most important concepts and considerations regarding endodontic management of kidney patients. Overall, it is concluded that training and education of general dentists, as well as endodontic specialists with strong technical, scientific, human, and moral knowledge about kidney patients, with emphasis on the philosophy of prevention of common dangerous systemic consequences originating from endodontic treatments, is the responsibility of dental schools in undergraduate as well as post-graduate programs.

References
1.
Shashar M, Belghasem M, Matsuura S, Walker J, Richards S, Alousi F . Targeting STUB1-tissue factor axis normalizes hyperthrombotic uremic phenotype without increasing bleeding risk. Sci Transl Med. 2017; 9(417). PMC: 5854487. DOI: 10.1126/scitranslmed.aam8475. View

2.
Yazdi F, Karimi N, Rasouli M, Roozbeh J . Effect of nonsurgical periodontal treatment on C-reactive protein levels in maintenance hemodialysis patients. Ren Fail. 2013; 35(5):711-7. DOI: 10.3109/0886022X.2013.777890. View

3.
Evans M, Fored C, Bellocco R, Fitzmaurice G, Fryzek J, McLaughlin J . Acetaminophen, aspirin and progression of advanced chronic kidney disease. Nephrol Dial Transplant. 2009; 24(6):1908-18. DOI: 10.1093/ndt/gfn745. View

4.
Rodrigues V, Liberio S, Lopes F, Thomaz E, Guerra R, Gomes-Filho I . Periodontal status and serum biomarkers levels in haemodialysis patients. J Clin Periodontol. 2014; 41(9):862-8. DOI: 10.1111/jcpe.12283. View

5.
Khalighinejad N, Aminoshariae A, Kulild J, Sahly K, Mickel A . Association of End-stage Renal Disease with Radiographically and Clinically Diagnosed Apical Periodontitis: A Hospital-based Study. J Endod. 2017; 43(9):1438-1441. DOI: 10.1016/j.joen.2017.04.014. View