End Stage Renal Disease occurs when the kidneys are no longer able to meet patient demands on a daily basis. The decline into End Stage Renal Disease almost always follows Chronic Kidney Disease, in which the kidneys slowly decline over a ten to twenty year period. Two of the most common causes of Chronic Kidney Disease are hypertension and Diabetes, both of which are prevalent in the United States, and present in this patient. Unfortunately, without dialysis treatment or a kidney transplant, ESRD will lead to death. Dialysis is the process in which blood is passed through a filter outside the body, cleansed of salt and waste products which may have accumulated, and returned to the patient’s body, aiding the kidneys in their deficient state.
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The researchers did not make any mention of prior periodontal condition however, nor did they address oral hygiene instruction or compliance. With that considered, the implications that oral health and kidney failure are correlated is something to keep in mind while treating patients such as #10377, as he has progressed to hemodialysis treatment, and is awaiting a kidney transplant. His case may be unique however, as periodontal health is a metric for candidacy when awaiting a renal transplantation, and he receives a cleaning every three months as such. Still, it is important to monitor periodontal health as he moves forward, and especially if he proceeds with renal …show more content…
According to Tadakamadla et al, “The mean gingival index score for study group (1.88) was more than twice to that of control subjects (0.92). Stage of kidney disease influenced the gingival and oral hygiene status, which decreased as the stage progressed. The overall prevalence of periodontal pockets (70.3%) in diseased subjects was significantly higher than controls (18.9%). More than three quarters (78.9%) of the patients with stage 5 CKD exhibited deep periodontal pockets” (Tadakamadla et al
The researchers did not make any mention of prior periodontal condition however, nor did they address oral hygiene instruction or compliance. With that considered, the implications that oral health and kidney failure are correlated is something to keep in mind while treating patients such as #10377, as he has progressed to hemodialysis treatment, and is awaiting a kidney transplant. His case may be unique however, as periodontal health is a metric for candidacy when awaiting a renal transplantation, and he receives a cleaning every three months as such. Still, it is important to monitor periodontal health as he moves forward, and especially if he proceeds with renal …show more content…
According to Tadakamadla et al, “The mean gingival index score for study group (1.88) was more than twice to that of control subjects (0.92). Stage of kidney disease influenced the gingival and oral hygiene status, which decreased as the stage progressed. The overall prevalence of periodontal pockets (70.3%) in diseased subjects was significantly higher than controls (18.9%). More than three quarters (78.9%) of the patients with stage 5 CKD exhibited deep periodontal pockets” (Tadakamadla et al