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

Möst T, Lutz R, Jahn AE, Heller KM, Schiffer M, Adler W, Deschner J, Weber M, Kesting MR (2021)

Publication Type: Journal article

Publication year: 2021

Journal

Clinical Oral Investigations Springer Verlag (Germany)

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.

Authors with CRIS profile

Tobias Möst Department of Oral and Cranio-Maxillofacial Surgery Rainer Lutz Medizinische Fakultät Mario Schiffer Lehrstuhl für Innere Medizin IV Werner Adler Lehrstuhl für Biometrie und Epidemiologie Manuel Weber Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie Marco Rainer Kesting Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie

Involved external institutions

Johannes Gutenberg-Universität Mainz (JGU)

Germany (DE)

How to cite

APA:

Möst, T., Lutz, R., Jahn, A.E., Heller, K.M., Schiffer, M., Adler, W.,... 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

MLA:

Möst, 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 (2021).

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