신장질환 입원환자에서 구강합병증 관리에 관한 임상적 연구

Abstract

This is a retrospective study on the care of oral complications in admission patients with renal diseases. The study was based on a series of 181 patients treated at Dong San Medical Center, Wonju Christian Hospital and II San Health Insurance Hospital, from Jan. 1, 2000, to Dec. 31, 2002. The obtained results were as follows. The primary glomerular disease was the most frequent cause of renal disease, and renal tubukrintersti-tial diseases, chronic renal failure and acute renal failure were next in order of frequency. But, there was the most frequent dental consultation in the chronic renal failure, owing to the many oral complications. Male prediction(55.2%) was almost existed in the dental consultation patients with renal diseases. But, there was the female prediction(61.9%) in the primary glomerular diseases. The most common age group of the dental consultation patients with renal diseases was the fifty decade(26.5%), followed by the thirty, sixty & fourty decade in order. In the contents of chief complaints on the dental consultation patients with renal diseases, peak incidence was occurred as toothache(40.3%), followed by oral ulcer, mucositis and intraoral bleeding in order. In the pathologic diagnosis of oral complications in the dental consultation patients with renal diseases, pulpitis(16.1%) was the frequent disease and periodontitis, advanced caries, oral ulcer, gingivitis, mucositis, periapical abscess and periodontal abscess were next in order of freguency. In the care group of oral complications, the most freguent incidence(28.9%) was showed in the endodontic treatment (primary endodontic drainage), and followed by scaling, incision & drainage, only medications, restoration, ointment application onto the ulcer and daily dressing in order.