Wilczyńska-Borawska Magdalena, Małyszko Jolanta, Stokowska Wanda
Zakład Stomatologii Zachowawczej, Uniwersytetu Medycznego w Białymstoku.
Przegl Lek. 2010;67(12):1322-4.
Kidney transplantation is the best option of treatment for patients with end-stage renal failure. However, following kidney transplantation many stomatological abnormalities are frequently reported. It is mainly due to immunosuppressive therapy and subsequent impaired immune response. There is an increased risk of infections and malignancies. The most frequent findings in the oral cavity include: aphthae, erosions of bacterial, viral and fungal origin, lichen-like or leukoplakia-like changes. The another type of change is gingival hyperplasia and its periodontologial consequences. In this review etiology, clinical symptoms of periodontological changes are described together with algorithm of pre- and posttransplant management of oral healthy is provided.
肾移植是终末期肾衰竭患者的最佳治疗选择。然而,肾移植后经常报告出现许多口腔异常情况。这主要是由于免疫抑制治疗以及随后受损的免疫反应。感染和恶性肿瘤的风险增加。口腔中最常见的表现包括:口疮、细菌、病毒和真菌引起的糜烂、苔藓样或白斑样改变。另一种改变是牙龈增生及其牙周后果。在本综述中,描述了牙周改变的病因、临床症状,并提供了口腔健康移植前和移植后管理的算法。