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A Clinician's Guide to Systemic Effects of Periodontal DiseasesInteractions Between Periodontal Disease and Chronic Kidney Diseases

A Clinician's Guide to Systemic Effects of Periodontal Diseases: Interactions Between Periodontal... [An increasing number of patients with chronic kidney disease (CKD) including those with end-stage renal disease (ESRD) on renal replacement therapy present each year for dental care. This increase is due, in part, to the rising prevalence of type 2 diabetes and the aging population demographics of industrialized nations. However, advances in renal replacement technologies have also greatly increased the life expectancies for ESRD patients thereby increasing the size of this patient population. In addition, not only will the dental profession be asked to care for an increasing number of CKD patients, but recent studies suggest that periodontitis may affect the medical management of the CKD patient. Adverse outcomes including mortality have been associated with increased systemic inflammation in both the CKD and the general population making means to decease systemic inflammation an emerging medical concern [1, 2]. For patients receiving hemodialysis maintenance therapy, for example, increased systemic inflammation has been closely associated with atherosclerotic complications including myocardial infarction and stroke, which are among the most frequent causes of mortality in this patient population [3].] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Clinician's Guide to Systemic Effects of Periodontal DiseasesInteractions Between Periodontal Disease and Chronic Kidney Diseases

Editors: Craig, Ronald G.; Kamer, Angela R.

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Publisher
Springer Berlin Heidelberg
Copyright
© Springer-Verlag Berlin Heidelberg 2016
ISBN
978-3-662-49697-8
Pages
53 –65
DOI
10.1007/978-3-662-49699-2_5
Publisher site
See Chapter on Publisher Site

Abstract

[An increasing number of patients with chronic kidney disease (CKD) including those with end-stage renal disease (ESRD) on renal replacement therapy present each year for dental care. This increase is due, in part, to the rising prevalence of type 2 diabetes and the aging population demographics of industrialized nations. However, advances in renal replacement technologies have also greatly increased the life expectancies for ESRD patients thereby increasing the size of this patient population. In addition, not only will the dental profession be asked to care for an increasing number of CKD patients, but recent studies suggest that periodontitis may affect the medical management of the CKD patient. Adverse outcomes including mortality have been associated with increased systemic inflammation in both the CKD and the general population making means to decease systemic inflammation an emerging medical concern [1, 2]. For patients receiving hemodialysis maintenance therapy, for example, increased systemic inflammation has been closely associated with atherosclerotic complications including myocardial infarction and stroke, which are among the most frequent causes of mortality in this patient population [3].]

Published: May 18, 2016

Keywords: Chronic Kidney Disease; Peritoneal Dialysis; Renal Replacement Therapy; Chronic Kidney Disease Patient; ESRD Patient

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