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Oral and Dental Aspects of Chronic Renal Failure

¹ Oral Medicine, Division of Maxillofacial Diagnostic, Medical & Surgical Sciences, Eastman Dental Institute for Oral Health Care Sciences, UCL, University of London, 256, Gray’s Inn Road, London WC1X 8LD, UK;
² Community Dental Department, Coventry NHS Primary Care Trust, Abbey View, 271 London Road, Coventry, West Midlands CV3 4AR, UK;
³ Department of Nephrology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, West Midlands CV2 2DX, UK; and
⁴ Health Services Research, Eastman Dental Institute for Oral Health Care Sciences, UCL, University of London, 256, Gray’s Inn Road, London WC1X 8LD, UK;

^* corresponding author, S.Porter{at}eastman.ucl.ac.uk

The present article reviews, in detail, the current knowledge of the oral and dental aspects of chronic renal failure (CRF). Worldwide, increasing numbers of persons have CRF; thus, oral health care staffs are increasingly likely to provide care for patients with such disease. Chronic renal failure can give rise to a wide spectrum of oral manifestations, affecting the hard or soft tissues of the mouth. The majority of affected individuals have disease that does not complicate oral health care; nevertheless, the dental management of such individuals does require that the clinician understand the multiple systems that can be affected. The clinician should also consider the adverse side-effects of drug therapy and appropriate prescribing, in view of compromised renal clearance.

KEY WORDS: chronic • dental • oral • renal

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