what is chronic renal failure? orthodontic consideration for patient with renal disease patient in hemodialysis renal transplant patient conclusion

1. CHRONIC RENAL
FAILURE AND
ORTHODONTIC
CONSIDERATIONS

2. WHAT IS
CHRONIC
RENAL
FAILURE?
Treatment involves dietary restriction of salt,
potassium, protein, dialysis and kidney
transplant.
Chronic renal failure is long lasting damage
to the kidneys and has many causes that
lead to the loss of kidney function.

3. ORTHODONTIC
CONSIDERATIONS
FOR CHRONIC
RENAL DISEASE
PATIENTS.

4. PATIENT WITH RENAL DISEASE IN CONSERVATIVE
MEDICAL TREATMENT:
The orthodontist should communicate with the nephrologist to be
aware of stage of pathology suffered and treatment prescribed.
Patients with hematologic problems should have blood pressure
monitored.
Nephrotoxic drugs should be avoided.
Orthodontic treatment is not contra indicated in well controlled
renal disease, only when the disease is advanced.

5. PATIENTS WITH RENAL DISEASE IN
HEMODIALYSIS:
These patients receive this treatment 3 times a week.
If emergency dental treatment must be performed, protamine
sulphate is advocated to block the anticoagulant effect but
hemostatic measures must still be carried out.

6. RENAL TRANSPLANT PATIENT:
These patients are immunosuppressed by medication therefore
maintenance of proper oral health is important as oral infections in
transplant patients can contribute to its morbidity or even rejection.
Patients taking high doses of corticosteroids should take double
on the day of procedure to prevent adrenal crisis.

7. CONCLUSION
 Orthodontists have to treat medically
compromised patients.
 Orthodontic therapy is relatively low
risk as compared to other procedures
but therapy with fixed appliances may
be potentially harmful.
 90% of the patients with chronic renal
disease show oral signs and symptoms
such as bleeding tendency, greater
susceptibility to infections and drug
induced gingival overgrowth.
 Orthodontic treatment should be
delayed until the gingival over-growth
is reduced.
 However, orthodontic treatment is not a
contraindication.

8. REFRENCES
 Article published in Heal Talk // may-June 2015 // vol 07 // issue
05
 Contemporary orthodontics William R. Proffit
 Orthodontics the art and science 7th ed S.I. BHALAJHI

9. THANK YOU