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Oral health status in children with renal disorders

P Subramaniam1, M Gupta, A Mehta

  • 1Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Karnataka, India. drpriyapedo@yahoo.com

The Journal of Clinical Pediatric Dentistry
|January 25, 2013
PubMed

Insights

Pediatric renal disorder patients in India show significant enamel defects and poor oral hygiene. Tailored preventive dental care is crucial for these children to improve their oral health outcomes.

Area of Science:

  • Pediatric Nephrology
  • Oral Medicine
  • Public Health

Background:

  • Pediatric nephrology advances improve survival rates for children with renal disorders.
  • Renal diseases impact multiple organs, including oral tissues.
  • Limited data exists on the oral health of Indian children with renal disorders.

Purpose of the Study:

  • To assess the oral health status of children with renal disorders in Jaipur, India.
  • To evaluate dental caries, enamel defects, and oral hygiene in this population.

Main Methods:

  • Thirty-six children (4-14 years) with diagnosed renal disorders were studied.
  • Data included demographics, medical history, and blood investigations.
  • Oral health assessed using WHO criteria for caries, Developmental Defects of Enamel index, and Oral Hygiene Index-Simplified (OHI-S). Salivary pH and buffering capacity were measured.

Main Results:

  • Mean hemoglobin: 9.75 gm/dl, blood urea nitrogen: 43.06 gm/dl, serum creatinine: 1.5 mg/dl.
  • Enamel defects observed in 58.3% of children.
  • Mean deft: 1.5, DMFT: 0.5, OHI-S: 1.56. Mean salivary pH: 6.92, buffering capacity: 9.86. Gingival overgrowth was absent.

Conclusions:

  • Children with renal disorders in Jaipur exhibit a high prevalence of enamel defects and compromised oral hygiene.
  • Specific preventive oral health strategies are essential for pediatric dental care in this vulnerable group.

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