Dental Management of Minor oral surgery for Patients on Hemodialysis

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Porntip Jeenjanya
Duangdee Rummasak



Objective: This is a literature review that aims to present oral manifestation, medical considerations, dental considerations, prescribed medications of minor oral surgery for patients on Hemodialysis

Methods: The data were searched by website PubMed, Cochrane, google, journal of medicine and dentistry which the last search was conducted in November 2018.

Result: The data were from experimental study, prospective, double-blind, randomized controlled, clinical trial and case report. Oral lesions are rarely seen in patients with end stage renal disease undergoing hemodialysis. These causes from urea that was eliminated by dialyzer, but dehydration and medications can induce these occurred. Heparin has half-life about four hours, must be clear up from circulation before dentists provide minor oral surgery. Therefore, Invasive treatment should be done on the day after hemodialysis and complete blood count were done. Also, coagulation test needs to be determined in order to prevent excessive bleeding. Local anesthesia can be used safely. Paracetamol is a choice for pain management, and also tramadol is preferred in the case of severe analgesic. There are various antibiotics that require dose adjustment .Clindamycin, penicillin and its derivatives are safer antibiotics for hemodialysis patients.

Conclusion: In the past few years, several technological innovations in hemodialysis equipment have been developed, including new modalities and strategies that have been introduced. However, in the case of minor oral surgery in patients with end stage renal disease undergoing hemodialysis, dentists should concern about complication that may have occurred especially excessive bleeding and oral infection. Risk assessment, specific problems of patients undergoing hemodialysis should be identified and discussed with nephrologist prior invasive dental treatment. These will reduce the risk of possible complications.

Key word: hemodialysis, minor oral surgery, end stage renal disease, heparin, invasive treatment

How to cite: Jeenjanya P, Rummasak D. Dental Management of Minor oral surgery for Patients on Hemodialysis





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Jeenjanya P, Rummasak D. Dental Management of Minor oral surgery for Patients on Hemodialysis. M Dent J [Internet]. 2019 Aug. 5 [cited 2023 Dec. 3];39(2):85-98. Available from:
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