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Abordagem do doente em hemodiálise na consulta de medicina dentária: revisão narrativa da literatura
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Abstract(s)
A doença renal crônica é um problema de saúde pública no mundo e associa-se a um maior risco de morbilidade e mortalidade. O tratamento da doença renal crónica em estádio avançado é a diálise ou o transplante renal. As manifestações orais na doença renal crónica são comuns. Nos pacientes em diálise as doenças dentárias são consideradas menos prevalentes e as doenças periodontais são mais comuns. A abordagem do doente em hemodiálise assenta numa avaliação compreensiva do seu estado de saúde geral em interação com o médico nefrologista, no conhecimento das manifestações orais da própria doença renal crónica e dos tratamentos e medicação atuais, e as implicações daquela doença nos procedimento médico dentários e na prescrição medicamentosa. O conhecimento e implementação dos protocolos de atuação pré-definidos na literatura pode ser capaz de auxiliar o médico dentista no atendimento a doentes em hemodiálise.
Chronic kidney disease is a public health problem worldwide and is associated with an increased risk of morbidity and mortality. The treatment of chronic kidney disease at an advanced stage is dialysis or kidney transplantation. Oral manifestations in chronic kidney disease are common. In dialysis patients, dental diseases are considered less prevalent and periodontal diseases are more common. The approach of hemodialysis patients requires a comprehensive assessment of their general health status in interaction with the nephrologist, in the knowledge of the oral manifestations of the chronic kidney disease itself and of current treatments and medication, and the implications of that disease in dental medical procedures and in drug prescription. The knowledge and implementation of predefined action protocols in the literature may be able to help dentists in the care of hemodialysis patients.
Chronic kidney disease is a public health problem worldwide and is associated with an increased risk of morbidity and mortality. The treatment of chronic kidney disease at an advanced stage is dialysis or kidney transplantation. Oral manifestations in chronic kidney disease are common. In dialysis patients, dental diseases are considered less prevalent and periodontal diseases are more common. The approach of hemodialysis patients requires a comprehensive assessment of their general health status in interaction with the nephrologist, in the knowledge of the oral manifestations of the chronic kidney disease itself and of current treatments and medication, and the implications of that disease in dental medical procedures and in drug prescription. The knowledge and implementation of predefined action protocols in the literature may be able to help dentists in the care of hemodialysis patients.
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Keywords
Doença renal crónica Hemodiálise Estado de saúde oral Diagnóstico Tratamento oral Chronic kidney disease Hemodialysis Oral health Diagnosis Dental treatment