KNOWLEDGE OF DENTISTS REGARDING OUTPATIENT SURGICAL MANAGEMENT OF PATIENTS WITH CHRONIC KIDNEY DISEASE
DOI:
https://doi.org/10.36557/2674-8169.2025v7n7p114-133Keywords:
Oral Surgery. Chronic Kidney Disease. Dentistry. Unified Health System (SUS).Abstract
In Brazil, the incidence and prevalence of Chronic Kidney Disease (CKD), as well as the frequency of its risk factors, have been progressively increasing. It is estimated that approximately 90% of patients with kidney disease present associated oral alterations, resulting from the systemic condition itself, the effects of adopted therapies, or both. It is noteworthy that dental care for these individuals requires specific precautions, especially during surgical procedures, which may be more complex due to impaired renal function. This study aimed to evaluate the level of knowledge of dentists regarding outpatient surgical care for patients with CKD, identifying, from the data obtained, the main gaps related to the topic. This is a field study, descriptive in nature, with a qualitative-quantitative approach, conducted through the application of a structured questionnaire. The investigated population consisted of dentists who perform outpatient surgical procedures in public health services in the municipalities of Natal and Parnamirim, in the state of Rio Grande do Norte (RN), Brazil. The results reveal significant gaps in the clinical knowledge of professionals, especially concerning surgical and therapeutic management in the context of kidney disease. These findings highlight the need for broader dissemination of updated scientific recommendations and the development of clinical protocols to ensure safe and effective dental care for this population.
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Kim YJ, Moura LM, Caldas CP, Perozini C, Ruivo GF, Pallos D. Evaluation of periodontal condition and risk in patients with chronic kidney disease on hemodialysis. Einstein (São Paulo). 2017;15(2):173–7.
Nerbass FB, Lima HN, Thomé FS, Vieira Neto OM, Lugon JR, Sesso R. Brazilian Dialysis Survey 2020. Braz J Nephrol. 2022.
Pereira BJ, Barreto S, Gentil T, Assis LS, Soeiro E, Castro ID, et al. Risk factors for the progression of chronic kidney disease after acute kidney injury. Braz J Nephrol. 2017;39:239–45.
Bastos MG, Kirsztajn GM. Chronic kidney disease: importance of early diagnosis, immediate referral and structured interdisciplinary approach to improve outcomes in patients not yet on dialysis. Braz J Nephrol. 2011;33(1):93–108.
Raimundo MC, Machado ÉR, Figueiredo AL, Beanes G. Manejo odontológico do paciente renal crônico: uma revisão de literatura. Rev Fac Odontol Univ Fed Bahia. 2017;47(1).
Pradhan D, Sharma L, Srivastava R, Shukla M, Singh O, Pratik. Assessment of oral health status and inflammatory markers in end stage chronic kidney disease patients: a cross-sectional study. J Family Med Prim Care. 2020;9(5):2264.
Medeiros NH, Neves RRA, Amorim JNC, Mendonça SMS. A insuficiência renal crônica e suas interferências no atendimento odontológico: revisão de literatura. Rev Odontol Univ Cid São Paulo. 2017;26(3):232.
Sturgill J, Howell S, Perry MM, Kothari H. Protocols for treating patients with end-stage renal disease: a survey of undergraduate dental programs. Spec Care Dentist. 2016;36(6):321–4.
Souza CG, Melo FA, Fonseca GP, Lucinda MF. Avaliação do conhecimento de dentistas de um município de Minas Gerais sobre o atendimento de pacientes com doença renal crônica. HU Rev. 2023;49:1–9.
Andrade N, Gallottini M. Knowledge and attitudes of Brazilian dentists towards the dental treatment of chronic kidney disease patients. J Oral Diagn. 2020;5:1–6.
Ammirati AL. Chronic kidney disease. Rev Assoc Med Bras. 2020;66(Suppl 1):s03–9.
Klassen JT, Krasko BM. The dental health status of dialysis patients. J Can Dent Assoc. 2002;68(1):34–8.
Rodakowska E, Wilczyńska-Borawska M, Fryc J, Baginska J, Naumnik B. Oral health-related quality of life in patients undergoing chronic hemodialysis. Patient Prefer Adherence. 2018;12:955–61.
Pereira ER, Ribeiro IML, Ruas EFG, Silva PLN, Gonçalves RPF, Diamantino NAM. Análise das principais complicações durante a terapia hemodialítica em pacientes com insuficiência renal crônica. Rev Enferm Cent Oeste Min. 2014.
Sousa MNA, Medeiros RC, Costa TS, Moraes JC, Diniz MB. Comorbidades de pacientes renais crônicos e complicações associadas ao tratamento hemodialítico. FIEP Bull. 2015;85:1–6.
Costantinides F, Castronovo G, Vettori E, Frattini C, Artero ML, Bevilacqua L, et al. Dental care for patients with end-stage renal disease and undergoing hemodialysis. Int J Dent. 2018;2018:1–8.
Andrade E. Terapêutica medicamentosa na odontologia. 3rd ed. Porto Alegre: Artes Médicas; 2014.
Mendes ES, Melo FB, Lorenzi SCS, Uzeda MJ, Resende RF. Cuidados que o cirurgião-dentista deve tomar no momento de tratar cirurgicamente um paciente em uso de anticoagulantes ou antiagregantes plaquetários. Rev Flum Odontol. 2022;2(58):81–90.
Santos GPJ, Silva MM, Santos JAN, Oliveira MA, Santos AA, Lopes SAS, et al. Exodontia nos pacientes em terapia anticoagulante: uma revisão de literatura. Braz J Health Rev. 2023;6(1):2464–73.
Morimoto Y, Niwa H, Minematsu K. Risk factors affecting postoperative hemorrhage after tooth extraction in patients receiving oral antithrombotic therapy. J Oral Maxillofac Surg. 2011;69(6):1550–6.
Georgakopoulou E, Achtari M, Afentoulide N. Dental management of patients before and after renal transplantation. Stomatologija. 2011;13(4):107–12.
Goff DA, Mangino JE, Glassman AH, Goff D, Larsen P, Scheetz R. Review of guidelines for dental antibiotic prophylaxis for prevention of endocarditis and prosthetic joint infections and need for dental stewardship. Clin Infect Dis. 2019;71(2):455–62.
Thornhill MH, Gibson TB, Yoon F, Dayer MJ, Prendergast BD, Lockhart PB, et al. Antibiotic prophylaxis against infective endocarditis before invasive dental procedures. J Am Coll Cardiol. 2022;80(11).
Gutiérrez JL, Bagán J, Bascones A, Llamas R, Llena J, Morales A, et al. Consensus document on the use of antibiotic prophylaxis in dental surgery and procedures. Med Oral Patol Oral Cir Bucal. 2006;11(2):20.
Morales Castro D, Dresser L, Granton J, Fan E. Pharmacokinetic alterations associated with critical illness. Clin Pharmacokinet. 2023;62(2):209–20.
Brockmann W, Badr M. Chronic kidney disease: pharmacological considerations for the dentist. J Am Dent Assoc. 2010;141(11):1330–9.
Costa Filho JZ, Padilha WSM, Santos EKN. Cuidados odontológicos em portadores de insuficiência renal crônica. Rev Cir Traumatol Buco-maxilo-fac. 2008;1:19–28.
Sakata RK, Nunes MHG. Analgesics use for kidney failure. Rev Dor. 2014;15(3).
Álamo S, Esteve CG, Gracia M, Pérez S. Patient with renal disease. J Clin Exp Dent. 2011;3(2):112–21.
Miller CS, Little JW, Falace DA. Supplemental corticosteroids for dental patients with adrenal insufficiency. J Am Dent Assoc. 2001;132(11):1570–9.
Ergenoglu P, Akin S, Bali C, Eker HE, Cok OY, Aribogan A. Effect of low dose dexmedetomidine premedication on propofol consumption in geriatric end stage renal disease patients. Braz J Anesthesiol. 2015;65(5):326–32.
Resende R. Qual o melhor anestésico local para meu paciente? Rev Flum Odontol. 2020.
Pogrel MA, Kahnberg KE, Andersson L. Oral and maxillofacial surgery. Hoboken: Wiley; 2016.
Hupp JR, Ellis E, Tucker MR. Cirurgia oral e maxilofacial contemporânea. Rio de Janeiro: Elsevier; 2011.
Guevara HG, Monaco GL, Rivero CS, Vasconcellos V, Souza DP, Raitz R. Manejo odontológico em pacientes com doença renal crônica. Rev Bras Ciênc Saúde. 2014;12(40).
Baeder FM. Guia odontológico prático para atendimento do paciente de alta complexidade. São Paulo: Napoleão; 2021.
Moest T, Lutz R, Jahn AE, Heller K, Schiffer M, Adler W, 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. Clin Oral Investig. 2021.
Kato S, Chmielewski M, Honda H, Pecoits-Filho R, Matsuo S, Yuzawa Y, et al. Aspects of immune dysfunction in end-stage renal disease. Clin J Am Soc Nephrol. 2008;3(5):1526–33.
Mochizuki Y, Harada H, Yokokawa M, Kinoshita N, Kubota K, Okado T, et al. Oral and maxillofacial surgery in patients undergoing dialysis for advanced renal disease: report of five cases. BMC Oral Health. 2018;18(1).
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Copyright (c) 2025 Jackson Jhonatan Vieira do Nascimento, Wesley Danilo de Oliveira, Luana Florêncio de Lima Ramos, Reinaldo Dias da Silva Neto
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