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Moest T, Lutz R, Jahn AE, et al. Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease. Clin Oral Investig. 2021;doi: 10.1007/s00784-021-04202-1.
Moest, T., Lutz, R., Jahn, A. E., Heller, K., Schiffer, M., Adler, W., Deschner, J., Weber, M., & Kesting, M. R. (2021). Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease. Clinical oral investigations, . https://doi.org/10.1007/s00784-021-04202-1
Moest, Tobias, et al. "Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease." Clinical oral investigations vol. (2021). doi: https://doi.org/10.1007/s00784-021-04202-1
Moest T, Lutz R, Jahn AE, Heller K, Schiffer M, Adler W, Deschner J, Weber M, Kesting MR. Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease. Clin Oral Investig. 2021 Oct 08; doi: 10.1007/s00784-021-04202-1. Epub 2021 Oct 08. PMID: 34623508.
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Clin Oral Investig. 2021 Oct 08; doi: 10.1007/s00784-021-04202-1. Epub 2021 Oct 08.

Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease.

Clinical oral investigations

Tobias Moest, Rainer Lutz, Arne Eric Jahn, Katharina Heller, Mario Schiffer, Werner Adler, James Deschner, Manuel Weber, Marco Rainer Kesting

Affiliations

  1. Department of Oral and Maxillofacial Surgery, University Hospital Erlangen, Glueckstraße 11, 91054, Erlangen, Germany. [email protected].
  2. Department of Oral and Maxillofacial Surgery, University Hospital Erlangen, Glueckstraße 11, 91054, Erlangen, Germany.
  3. Department of Nephrology and Hypertension, University Hospital Erlangen, Erlangen, Germany.
  4. Department of Medical Informatics, Biometry and Epidemiology (IMBE), University of Erlangen-Nuremberg, Erlangen, Germany.
  5. Department of Periodontology and Operative Dentistry, University of Mainz, Mainz, Germany.

PMID: 34623508 DOI: 10.1007/s00784-021-04202-1

Abstract

OBJECTIVES: This retrospective study evaluates intraoral surgical and conservative treatment need in patients with a chronic kidney end-stage disease, depending on the duration of dialysis treatment and the causative nephrological disease.

MATERIAL AND METHODS: This study is based on data of patients referred to the Department of Oral and Maxillofacial Surgery of the University Hospital Erlangen, Germany, prior to kidney transplantation between January 2015 and March 2020. The necessity for oral surgical or dental therapy was determined by clinical and radiological examinations. Data on renal replacement therapy, cause of underlying renal disease, lifestyle, and general health were collected.

RESULTS: Data of N = 89 patients demonstrated that surgical treatment need depends on dialysis duration (p = 0.042). Patients, who had been dialyzing for 2 to 3 years showed the highest need for surgical intervention (80.0%; p = 0.024), followed by dialysis patients with a dialysis time of more than 3 years (48.1%). Similarly, dialysis patients in the second or third year of dialysis had the highest need for conservative treatment (73.3%; p > 0.05), followed by 55.6% of dialysis patients in the third year of dialysis.

CONCLUSIONS: Operative and conservative treatment is essential to optimize subsequent kidney transplantation. The greatest necessity could be detected for patients in the second and third years of dialysis.

CLINICAL RELEVANCE: Oral health addressing surgical and conservative treatment need depends on the duration of dialysis in patients with a chronic kidney end-stage disease.

© 2021. The Author(s).

Keywords: Immunosuppression; Kidney; Oral health; Organ transplantation

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