Enamel hypoplasia associated with chronic kidney failure: A rare case report


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Özgüven A., Berberoğlu B., Boyacıoğlu Erden H., Dural S.

28th Congress of the International Association of Paediatric Dentistry, 2021, 10 - 13 June 2021, vol.31, no.1555, pp.178

  • Publication Type: Conference Paper / Summary Text
  • Volume: 31
  • Page Numbers: pp.178

Abstract

Introduction: Chronic renal failure (CRF) is a progressive disease due to nephronar dysfunction caused by various reasons. Oral findings of CRF are ammonia odor in the mouth, taste disturbance, gingivitis, decreased salivary flow and pronounced enamel hypoplasia. These hypoplasias can be seen in various ways.

Case report: A 14-year- old male patient with chronic renal failure was consulted by the nephrology department for a dental examination before kidney transplantation. As a result of the intraoral examination performed, extensive hypomineralized, rough and worn enamel areas were observed on the patient's teeth. The radiologic examination revealed that the enamels of the teeth were not of normal thickness.

Discussion: Enamel anomalies in CRF patients are thought to be due to impaired calcium phosphate metabolism. CRF affects dental morphogenesis, so the severity of hypoplasia correlates with age and the time since the onset of renal failure.

Conclusion: There is a high rate of enamel hypoplasia in patients with CRF. Since most of the patients are candidates for kidney transplantation, it is extremely important to eliminate any oral infections and to having been regular controls. Patients diagnosed with chronic renal failure should be monitorized by routine dental and radiological examinations to prevent serious dental complications that may occur due to enamel hypoplasia.