State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Int J Oral Sci. 2017 Sep;9(3):125-132. doi: 10.1038/ijos.2017.23. Epub 2017 Jun 23.
Chronic kidney disease (CKD) is a worldwide public health problem that is growing in prevalence and is associated with severe complications. During the progression of the disease, a majority of CKD patients suffer oral complications. Dental implants are currently the most reliable and successful treatment for missing teeth. However, due to complications of CKD such as infections, bone lesions, bleeding risks, and altered drug metabolism, dental implant treatment for renal failure patients on dialysis is more challenging. In this review, we have summarized the characteristics of CKD and previous publications regarding dental treatments for renal failure patients. In addition, we discuss our recent research results and clinical experience in order to provide dental implant practitioners with a clinical guideline for dental implant treatment for renal failure patients undergoing hemodialysis.
慢性肾脏病（CKD）是一个全球性的公共卫生问题，其发病率正在不断增加，并与严重并发症相关。在疾病进展过程中，大多数 CKD 患者会出现口腔并发症。牙种植体是目前治疗缺牙最可靠、最成功的方法。然而，由于 CKD 的并发症，如感染、骨病变、出血风险和药物代谢改变，对透析肾衰竭患者进行牙种植体治疗更具挑战性。在这篇综述中，我们总结了 CKD 的特征以及之前关于肾衰竭患者牙科治疗的文献。此外，我们还讨论了我们最近的研究结果和临床经验，以便为牙种植体从业者提供肾衰竭患者血液透析牙种植体治疗的临床指南。
