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Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review
Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science and Sc...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967680/ https://www.ncbi.nlm.nih.gov/pubmed/36836050 http://dx.doi.org/10.3390/jcm12041507 |
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author | Kreher, Deborah Ernst, Bero Luke Vincent Ziebolz, Dirk Haak, Rainer de Fallois, Jonathan Ebert, Thomas Schmalz, Gerhard |
author_facet | Kreher, Deborah Ernst, Bero Luke Vincent Ziebolz, Dirk Haak, Rainer de Fallois, Jonathan Ebert, Thomas Schmalz, Gerhard |
author_sort | Kreher, Deborah |
collection | PubMed |
description | Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science and Scopus was performed by two independent individuals in August 2022. Search terms were: “caries” AND “dialysis”, “caries” AND “renal replacement therapy”, “caries” AND “kidney”. The systematic process was complemented by manual search. Studies on adult patients (age ≥ 18 years), treated by any form of RRT and explicitly reporting caries prevalence or incidence were checked for their eligibility and subsequently analyzed qualitatively. For all included studies, a quality appraisal was applied. From the systematic search, 653 studies were identified, of which 33 clinical investigations were included in the qualitative analysis. The majority (31 studies) of all included patients underwent hemodialysis (HD), with a sample size between 28 and 512 participants. Eleven studies investigated a healthy control group. Oral examinations were heterogeneous across studies; the caries burden was primarily assessed by decayed-(D-T), missing- and filled-teeth index (DMF-T). The number of decayed teeth ranged between 0.7 and 3.87 across studies. Only six out of these 11 studies found significant differences in caries prevalence/incidence between RRT and controls, whereby only four studies confirmed worse caries burden in RRT individuals. No information was provided on caries stadium (initial caries, advanced caries, invasive treatment need), caries activity or location (e.g., root caries) across studies. Most of the included studies were assessed to be of moderate quality. In conclusion, patients on RRT suffer from a high prevalence of dental caries. Alongside a need for further research in the field, improved, multidisciplinary, patient-centered dental care concepts are required to support dental and overall oral health in individuals on RRT. |
format | Online Article Text |
id | pubmed-9967680 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99676802023-02-27 Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review Kreher, Deborah Ernst, Bero Luke Vincent Ziebolz, Dirk Haak, Rainer de Fallois, Jonathan Ebert, Thomas Schmalz, Gerhard J Clin Med Review Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science and Scopus was performed by two independent individuals in August 2022. Search terms were: “caries” AND “dialysis”, “caries” AND “renal replacement therapy”, “caries” AND “kidney”. The systematic process was complemented by manual search. Studies on adult patients (age ≥ 18 years), treated by any form of RRT and explicitly reporting caries prevalence or incidence were checked for their eligibility and subsequently analyzed qualitatively. For all included studies, a quality appraisal was applied. From the systematic search, 653 studies were identified, of which 33 clinical investigations were included in the qualitative analysis. The majority (31 studies) of all included patients underwent hemodialysis (HD), with a sample size between 28 and 512 participants. Eleven studies investigated a healthy control group. Oral examinations were heterogeneous across studies; the caries burden was primarily assessed by decayed-(D-T), missing- and filled-teeth index (DMF-T). The number of decayed teeth ranged between 0.7 and 3.87 across studies. Only six out of these 11 studies found significant differences in caries prevalence/incidence between RRT and controls, whereby only four studies confirmed worse caries burden in RRT individuals. No information was provided on caries stadium (initial caries, advanced caries, invasive treatment need), caries activity or location (e.g., root caries) across studies. Most of the included studies were assessed to be of moderate quality. In conclusion, patients on RRT suffer from a high prevalence of dental caries. Alongside a need for further research in the field, improved, multidisciplinary, patient-centered dental care concepts are required to support dental and overall oral health in individuals on RRT. MDPI 2023-02-14 /pmc/articles/PMC9967680/ /pubmed/36836050 http://dx.doi.org/10.3390/jcm12041507 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Kreher, Deborah Ernst, Bero Luke Vincent Ziebolz, Dirk Haak, Rainer de Fallois, Jonathan Ebert, Thomas Schmalz, Gerhard Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title | Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title_full | Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title_fullStr | Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title_full_unstemmed | Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title_short | Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review |
title_sort | prevalence of dental caries in patients on renal replacement therapy—a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967680/ https://www.ncbi.nlm.nih.gov/pubmed/36836050 http://dx.doi.org/10.3390/jcm12041507 |
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