Top

Journal of Maxillofacial and Oral Surgery

Published in:

01-06-2017 | Clinical Paper

End Stage Renal Disease: Not a Contraindication for Minor Oral Surgery—Protocol for the Management of Oral Surgery patients with ESRD on Hemodialysis

Authors: Sneha Pendem, G. Lakshmi Narayana, Poornima Ravi

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2017

Abstract

Objective

To describe a safe and effective protocol for the management of patients with end stage renal disease (ESRD) undergoing minor oral surgery.

Subjects and Methods

A prospective cohort study was conducted on all patients with ESRD who were referred for dental consultation. A definite protocol was designed in consultation with the nephrologist to minimize the risk of bleeding and wound healing complications during and after the minor surgical procedures. 36 patients consented for the protocol to be followed while 4 patients did not comply with the protocol and in 2 cases the protocol could be followed. The intra operative, post operative bleeding, and the wound healing were assessed in these patients.

Results

36 patients had uneventful extractions as the blood pressure was brought down to pre hypertensive stage following the protocol. 4 patients who did not comply with the protocol had episodes of bleeding in the post operative period. There were two special scenarios where additional precautions had to be taken have been discussed. The wound healing was satisfactory in all these patients.

Conclusion

The protocol discussed in this article helps us provide safe minor oral surgical treatment in patients with ESRD.

Varma PP (2015) Prevalence of chronic kidney disease in India—Where are we heading? Indian J Nephrol 25(3):133–135PubMedPubMedCentral

Qaseem A, Hopkins RH, Sweet DE, Starkey M, Shekelle P (2013) Screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease: a clinical practice guideline from the American College of Physicians. Ann Intern Med 159(12):835–847PubMed

Rajapurkar MM, John GT, Kirpalani AL et al (2012) What do we know about CKD in India: first report of the Indian CKD registry. BMC Nephrol 13:10–18CrossRefPubMedPubMedCentral

Brady HR, Brenner BM (2001) Acute renal failure. In: Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL (eds) Harrison’s principles of internal medicine, 15th edn. McGraw-Hill, New York, pp 1541–1551

Chobanian AV, Bakris GL, Black HR (2003) The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure the JNC 7 report. JAMA 289(19):2560–2571CrossRefPubMed

Porter GA, Bennett WM (1981) Nephrotoxic acute renal failure due to common drugs. Am J Physiol 241(1):F1–F8PubMed

Schrier RW, Wang W, Poole B, Mitra A (2004) Acute renal failure: definitions, diagnosis, pathogenesis, and therapy. J Clin Invest 114(1):5–14CrossRefPubMedPubMedCentral

Orth SR, Amann K, Strojek K, Ritz E (2001) Sympathetic overactivity and arterial hypertension in renal failure. Nephrol Dial Transplant 16(Suppl 1):67–69CrossRefPubMed

Tedla FM, Brar A, Browne R, Brown C (2011) Hypertension in chronic kidney disease: navigating the evidence. Int J Hypertens 2011:1–6 (Article ID 132405) CrossRef

10.

Tripathi KD (2008) Antimicrobial drugs: general considerations. In: Essentials of medical pharmacology, 6th edn. Jaypee Publications, New Delhi, pp 667–682

11.

Besarab A, Levin A (2000) Defining a renal anemia management period. Am J Kidney Dis 36:S13–S23CrossRefPubMed

12.

Ratcliffe PJ (1993) Molecular biology of erythropoietin. Kidney Int 44:887–904CrossRefPubMed

13.

Guerrouani A, Rzin A, El Khatib K (2013) Hyperparathyroidism-jaw tumour syndrome detected by aggressive generalized osteitis fibrosa cystic. Clin Cases Miner Bone Metab 10(1):65–66PubMedPubMedCentral

14.

Tarello F, Ottone S, De Gioanni PP, Berrone S (1996) Brown tumor of the jaw. Minerva Stomatol 45(10):465–470PubMed

15.

Forbes CD, Barr RD, Reid G, Thomson C, Prentice CRM, Mcnicol GP, Douglas AS (1972) Tranexamic acid in control of haemorrhage after dental extraction in haemophilia and christmas disease. Br Med J 2:311–313CrossRefPubMedPubMedCentral

16.

Andersson L, Erikson O, Hedlund PO, Kjellman H, Lindqvist B (1978) Special considerations with regard to the dosage of tranexamic acid in patients with chronic renal diseases. Urol Res 6(2):83–88CrossRefPubMed

17.

Wellington K, Wagstaff A (2003) Tranexamic acid: a review of its use in the management of menorrhagia. Drugs 63(13):1417–1433CrossRefPubMed

Title: End Stage Renal Disease: Not a Contraindication for Minor Oral Surgery—Protocol for the Management of Oral Surgery patients with ESRD on Hemodialysis
Authors: Sneha Pendem
G. Lakshmi Narayana
Poornima Ravi
Publication date: 01-06-2017
Publisher: Springer Singapore
Published in: Journal of Maxillofacial and Oral Surgery / Issue 2/2017
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-016-0945-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

End Stage Renal Disease: Not a Contraindication for Minor Oral Surgery—Protocol for the Management of Oral Surgery patients with ESRD on Hemodialysis

Abstract

Objective

Subjects and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Subjects and Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2017

Intraosseous Leiomyoma of the Mandible: A Case Report of the Rare Entity and Review of Literature

Trigemino-Cardiac Reflex: A Phenomenon Neglected in Maxillofacial Surgery?

Superolateral Dislocation of Bilateral Intact Mandibular Condyles: A Rare Case Series

Evaluating the Effect of Minimizing Screws on Stabilization of Symphysis Mandibular Fracture by 3D Finite Element Analysis

Analysis of Survival Rates Following Primary Surgery of 178 Consecutive Patients with Oral Cancer in a Large District General Hospital

Three-Dimensional Analysis of the Anatomical Characteristics and Dimensions of the Nasopalatine Canal Using Cone Beam Computed Tomography