Abed Hassan, Burke Mary, Shaheen Faissal
Department of Sedation and Special Care Dentistry, Guy's Hospital, King's College London Dental Institute, United Kingdom.
The Saudi Center for Organ Transplantation, Riyadh, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2018 Jul-Aug;29(4):766-774. doi: 10.4103/1319-2442.239634.
The number of patients with chronic kidney disease (CKD) is increasing worldwide. Different studies have shown that patients with CKD have poorer oral health status and they require a high amount of dental treatments than the general population. Therefore, it is crucial for dental care providers to have basic knowledge about kidney function and its implications for oral health and dental treatments. It is also essential to stress to nephrologists the importance of referring patients who are at a late stage of CKD to a specialty center for dental assessment before starting renal replacement therapy (i.e., renal dialysis or kidney transplant). The integrated care pathway of nephrology and dental teams is highly recommended. Patients on renal dialysis or after renal transplant always require a holistic approach. They have a high risk of oral bleeding, dental infection, and possible drug interaction. For safe dental treatment, dental care providers should determine the level of dentistry required and always liaise with the patients' nephrologist prior dental treatments. The aim of this review paper is to help the dental and nephrology teams to have some knowledge of renal patients' needs for dental treatment.
全球慢性肾脏病（CKD）患者数量正在增加。不同研究表明，CKD患者的口腔健康状况较差，与普通人群相比，他们需要更多的牙科治疗。因此，牙科护理人员掌握有关肾功能及其对口腔健康和牙科治疗影响的基本知识至关重要。向肾病学家强调在开始肾脏替代治疗（即肾透析或肾移植）之前，将处于CKD晚期的患者转诊至专科中心进行牙科评估的重要性也很重要。强烈建议采用肾病科和牙科团队的综合护理途径。接受肾透析或肾移植后的患者始终需要整体治疗方法。他们有口腔出血、牙科感染以及可能发生药物相互作用的高风险。为了安全地进行牙科治疗，牙科护理人员应确定所需的牙科治疗水平，并在进行牙科治疗前始终与患者的肾病学家保持联系。这篇综述文章旨在帮助牙科和肾病团队了解肾病患者的牙科治疗需求。
