Dental management of renal patients

Question 1

what may renal patients present with that affects their dental treament?

Answer 1

bleeding tendancies
infections
post op complications
hypertension
underlying disease

Question 2

what bleeding problems might a renal patient suffer from?

Answer 2

dimineished factor 3
abnormal platelet production
defective von willebrands

Question 3

treat a renal pt how long after dialysis and why?

Answer 3

one day

allows heparin to wear off

Question 4

how to minimise risks with pts with bleeding disorders?

Answer 4

atraumatic surgery and good local haemostatic measures

Question 5

what renal patients is PEP a consideration for?

Answer 5

polycystic kidney disease
peritoneal dialysis
some on haemodialysis
renal transplant

Question 6

if somone suffers from severe bleeding tendancies what should be avoided?

Answer 6

regional blocks

Question 7

what are some osseus lesions that can be seen orally?

Answer 7

loss of Lamina Dura
osteoporosis
osteolytic areas

Question 8

what might secondary hyperparathyroidism cause orally?

Answer 8

giant cell lesions

Question 9

what might renal patients suffer from after extraction?

Answer 9

abnormal bone repair and socket sclerosis

Question 10

what might CRF patients suffer from orally?

Answer 10

dry mouth, metallic taste, halitosis
insidiuous oral bleeding and purpura
salivary gland swelling
calculus accumulation
oral ulceration and changes because of anaemia

Question 11

what can CRF cause orally in children?

Answer 11

retarded jaw growth
tooth eruption can be delayed
malocclusion
brownish tooth discolouration
low caries risk and perio disease