Oral health and caries related microflora in children during the first three months following renal transplantation.

Abstract:

UNLABELLED:There is little information on the oral health of children undergoing renal transplantation during the early transplant period. METHODS:Twenty-four children undergoing renal transplantation aged 4-13.2 years and their matched controls were recruited. The dmfs, dmft, DMFS and DMFT, plaque, gingivitis and gingival enlargement scores were recorded. The oral microflora was sampled and cultured for S. mutans, Lactobacllus species and Candida species. RESULTS:There was a significantly lower mean dmfs (0.3 +/- 0.9; P = 0.03), dmft (0.3 +/- 0.9; P = 0.03), DMFS (2.3 +/- 5.3; P = 0.01) and DMFT (1.5 +/- 2.6; P = 0.02), respectively, in the transplant group. There was a significantly greater mean plaque score (14.7 +/- 11) for the permanent dentition, at baseline only, compared with 90 days post-transplantation (9.4 +/- 10.4; P = 0.02). There was a significantly greater gingival enlargement score (1.8 +/- 1.4; P = 0.04) 90 days post-transplantation compared with baseline. The S. mutans and Lactobacillus counts were significantly lower both at baseline (P = 0.0001 and P = 0.004) and 90 days post-transplantation (P = 0.02; and P = 0.05), respectively, compared with the controls. CONCLUSIONS:The transplant children had less active dental disease than the controls although gingival enlargement needs careful monitoring.

journal_name

Int J Paediatr Dent

authors

Al Nowaiser A,Lucas VS,Wilson M,Roberts GJ,Trompeter RS

doi

10.1111/j.1365-263x.2004.00534.x

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

118-26

issue

2

eissn

0960-7439

issn

1365-263X

pii

534

journal_volume

14

pub_type

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