The Challenges of Dental Care during the Hemodialysis: Case Report

Chronic renal deficiency (CRD) can leading to progressive loss of kidney function. Its causes include hypertension and diabetes mellitus. The lack of oral assistance could increase the presence of oral foci of infection, which alarms the nephrologists and worsens the metabolic equilibrium, especially those undergoing hemodialysis (HD). The dental care is always a big challenge due the risks of infection and bleeding, pharmacologic limitation, effects on social economic patterns, and psychological damages. This study aims to report a case of integral oral assistance in a patient undergoing HD. Upon oral examination it were observed dental caries, periodontal disease, periapical lesion, and several loss of teeth. Therefore, it was need promotion of oral health, control of gingivitis and periodontitis, dental extractions, teeth restoration, and dental prosthesis. For oral treatment, the dental team used a mobile dental equipment and worked together with the physiotherapy and nursing team and in accordance with nephrologist schedule of treatment. The patient was able to achieve a satisfactory level of oral health after one year of oral assistance. The authors conclude that a multidisciplinary approach is effective in giving better oral assistance to patients undergoing hemodialysis.