Piekoszewska-Ziętek Paula, Pańczyk-Tomaszewska Małgorzata, Olczak-Kowalczyk Dorota
Department of Paediatric Dentistry, Medical University of Warsaw, 02-091 Warsaw, Poland.
Department of Paediatrics and Nephrology, Medical University of Warsaw, 02-091 Warsaw, Poland.
J Clin Med. 2025 Apr 15;14(8):2696. doi: 10.3390/jcm14082696.
: Children with nephrotic syndrome (NS) are prone to oral health issues due to immunosuppression and systemic inflammation, which may exacerbate their renal condition. The objective of this study was to evaluate the impact of a 12-year interdisciplinary collaboration between pediatric dentists and nephrologists on oral health in children with NS. : A retrospective analysis of 80 NS patients-40 assessed in 2012 and 40 in 2024-was conducted using caries indices (dmft/DMFT), Plaque Index, and Gingival Index. Statistical tests assessed differences between groups ( < 0.05). : The prevalence of active caries significantly decreased (50% vs. 78%; = 0.011), with fewer decayed permanent teeth (0.96 ± 1.56 vs. 2.66 ± 2.51; = 0.003) and improved oral hygiene (good hygiene in 52.5% vs. 30%; = 0.041) in the 2024 group. Gingivitis was less severe compared to 2012. : Long-term interdisciplinary care significantly improved oral health in children with NS. These improvements may contribute to reduced systemic inflammation and better overall disease control. Integrating dental care into NS management is recommended to support long-term outcomes.
肾病综合征（NS）患儿由于免疫抑制和全身炎症，容易出现口腔健康问题，这可能会加重他们的肾脏病情。本研究的目的是评估儿科牙医和肾病科医生之间为期12年的跨学科合作对NS患儿口腔健康的影响。：使用龋病指数（dmft/DMFT）、菌斑指数和牙龈指数对80例NS患者进行回顾性分析——2012年评估40例，2024年评估40例。统计检验评估组间差异（<0.05）。：2024年组的活动性龋齿患病率显著降低（50%对78%；P=0.011），恒牙龋坏数量减少（0.96±1.56对2.66±2.51；P=0.003），口腔卫生状况改善（良好卫生状况从30%提高到52.5%；P=0.041）。与2012年相比，牙龈炎症状减轻。：长期跨学科护理显著改善了NS患儿的口腔健康。这些改善可能有助于减轻全身炎症，更好地控制整体疾病。建议将牙科护理纳入NS管理，以支持长期治疗效果。
