INTRODUCTION TO ORAL CARE

Introduction

CKD is associated with age-related decline of renal function and is highly prevalent, estimated to affect between 11% to 13% of the global population1. Approximately 90% of patients with CKD will have oral signs or symptoms, including bleeding gums, a dry mouth, candidiasis, burning mouth, abnormal taste and abnormal lip pigmentation2. Ruospo and colleagues performed a systemic review of 88 studies in 125 populations (11,340 dialysis adult patients) and reported3:

  • 57%  had gum disease
  • 50% had dry mouth
  • 20% were edentulous
  • 19% had oral pain 
  • 25% never brushed their teeth

These factors can significantly impact on the well-being of patients with renal disease and their quality of life. For example, a tooth with dental decay and/or gum disease may be associated with pain, infection and swelling, particularly when the decay involves the nerve of the tooth and there is a dental abscess. This can cause problems with eating, drinking and swallowing. In addition, a dry mouth lacks adequate saliva to mix with food particles during the process of mastication. The dry mouth is often accompanied by an abnormal taste as well as a burning sensation. All these factors can have a significant effect on nutrition. 

References 

  1. Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS & Hobbs FDR. Global Prevalence of Chronic Kidney Disease - A Systematic Review and Meta-Analysis. PLoS ONE, 2016;11(7), e0158765. http://doi.org/10.1371/ journal.pone.0158765 (Accessed 27/03/2018). 
  2. Oyetola EO, Owotade FJ, Agbelusi GA, Fatusi OA & Sanusi AA. Oral findings in chronic kidney disease: implications for management in developing countries. BMC Oral Health. 2015;15:24. 
  3. Ruospo M, Palmer SC, Craig JC, Gentile G, Johnson DW, Ford PJ, Tonelli M, Petruzzi M, De Benedittis M & Strippoli GF. Prevalence and severity of oral disease in adults with chronic kidney disease: a systematic review of observational studies. Nephrology Dialysis Transplantation. 2014;29(2):364375. 

EDUCATIONAL MATERIAL

Education & Training - this is the Core of the Association. Development of Educational materials, organize educational events like the annual International Conference and several Seminars along Europe. The aim of the Association is to provide tools and knowledge to Healthcare professionals as well as our Patients.

Publications
EDTNA/ERCA Secretariat

Källstorps Gård / Högs Byväg 118 / SE-246 55 Löddeköpinge / Sweden
Phone: +46 46 70 96 24 / secretariat@edtnaerca.org

Head Office

EDTNA/ERCA, Seestrasse 91, CH 6052 Hergiswil, Switzerland