Хроническая почечная недостаточность и изменения ротовой полости (Обзор литературы)

Сделан анализ научной литературы, посвященной изменениям органов и тканей ротовой полости при хронической почечной недостаточности (ХПН). Число пациентов в терминальной стадии ХПН постоянно увеличивается, и больные на заместительной почечной терапии, включая гемодиализ, перитонеальный диализ и после трансплантации почки, будут составлять все больший сегмент населения, нуждающийся в стоматологической помощи. Вследствие ХПН и ее лечения происходит множество изменений зубов и тканей полости рта, которые сохраняются даже в терминальной стадии. Почечная заместительная терапия может влиять на состояние периодонтальных тканей, включая гингивальную гиперплазию при иммуносупрессии после трансплантации почки, увеличение микробной контаминации, воспаление десен, отложение зубных камней и возможное увеличение распространенности и тяжести деструктивных процессов периодонта. Кроме того, недиагностированный периодонтит может оказывать существенные эффекты на терапию пациентов с ХПН в терминальной стадии.

сhronic renal insufficiency, periodontitis, gingivitis, status of oral cavity, hygiene of oral cavity, хроническая почечная недостаточность, периодонтит, гингивит, состояние полости рта, гигиена полости рта

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