Tuma M, Silva Andrade N, Correia Aires R, Cristelli MP, Medina Pestana JO, Gallottini M. Oral findings in kidney transplant children and adolescents.
Int J Paediatr Dent 2022;
32:894-902. [PMID:
35316550 DOI:
10.1111/ipd.12965]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 02/12/2022] [Accepted: 02/21/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND
Children and adolescents undergoing kidney transplantation may present oral conditions after the procedure, but a few studies have recently described them.
AIM
To describe the oral conditions of post-renal transplant children and adolescents.
DESIGN
Two calibrated dentists examined all the participants by assessing caries experience, enamel defects, periodontal condition and soft tissue lesions.
RESULTS
A total of 120 participants were included in the study, in which 63 (52.5%) were male and 57 (47.5%) were female, with a mean age of 12.78 ± 3.9 years. Among the participants, 104 (86.7%) showed at least one oral change directly related to kidney disease. The most frequent oral findings were enamel defect (49/120; 40.8%) and drug-induced gingival overgrowth (DIGO) (20/120; 16.7%). Gingival bleeding was observed on probing in 115 (95.8%) participants, whereas 69 (57.5%) presented dental calculus and 51 (42.5%) had caries experience.
CONCLUSION
Gingival bleeding, enamel defects and DIGO were the most frequent oral findings in kidney transplant children and adolescents. The use of amlodipine and anticonvulsants was associated with DIGO, and there was a positive correlation between oral ulcers and use of everolimus.
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