Clinical and Microbiological Assessment of Dental Caries among Children/Adolescents with Chronic Renal Failure

Document Type : Original Article

Author

Associated Professor of Pedodontics and Oral Health Department, Faculty of Dental Medicine (Boys, Cairo), Al-Azhar University

Abstract

Abstract:
Background: Renal failure is a common public health disease among the young age (Children/Adolescents) population. Most of those population doesn’t have any dental care in combination with the increasing attention of their parents/caregivers toward their systemic disease.
Objective: The present study was directed to assess the correlation between Chronic Renal Failure (CRF) and the prevalence of dental caries among children and adolescents.
Subject and methods: This study was conducted on four hundred Egyptian children and adolescents aged 6-18 years. The enrolled subjects were selected according to designed criteria and divided into two equal groups; subjects with renal failure and control healthy subjects. Each subject was clinically assessed using the International Caries Detection and Assessment System (ICDAS). A saliva sample from each subject was taken for microbial investigation and assessment.
Results: The results revealed a significantly lower caries prevalence among the subjects with chronic renal failure with significantly higher enamel defects. Moreover, the microbiological analysis showed a significant reduction in the count of Streptococcus mutans and Lactobacilli in (CRF) individuals.
Conclusion: Subjects with chronic renal failure showed a significant reduction in dental caries and bacterial counts with a significant increase in enamel defects.
Keywords: Dental caries - Renal Failure – ICDAS - Streptococcus mutans - Lactobacilli

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Main Subjects