End-Stage Kidney Disease and Oral Health
Gradual loss of kidney function and/or presence of kidney damage persisting for three or more months, irrespective of the cause, is usually referred to as chronic kidney disease (CKD), which has been regarded as a major public health problem worldwide.
End-stage kidney disease (ESKD) is the last stage of CKD where the GFR falls below 15ml/min/1.73square meters and renal replacement therapy (RRT) is required. In Australia and New Zealand, diabetes is the main cause of ESKD while Indigenous identity has been attributed to an increased risk of developing ESKD. Over 90% of ESKD patients present with many oral manifestations including but not limited to xerostomia, ureamic fetor, ureamic stomatitis and accelerated periodontitis.
The professional pamphlet of this special topic discusses in detail, the oral manifestations of ESKD while emphasizing the role of dental practitioners in maintaining oral health in ESKD patients. On the other hand, the patient pamphlet focuses on the presentation of ESKD in the mouth and the importance of oral health care as well as prevention of dental diseases in ESKD patients.