Oral Health in Children Suffering from Pyelonephritis and Nephrotic Syndrome

Background: Bacterial infections of urinary tract are among most widely distributed infectious diseases in childhood. The onset and progression of the systemic disorders of pyelonephritis and nephrotic syndrome are related with the necessity of frequent hospitalization of children. There is a risk for children to get in stress in their attempts to cope with medicines’ programs, as well as with considerable restrictions of the alimentary regime. This can result in negligence concerning the significance of preventive cares for oral health, leading to its drastic deterioration.

Objectives: The purpose of this study is to evaluate the oral hygiene status and gingival condition of children suffering from pyelonephritis and nephrotic syndrome in relation to some clinical and environmental caries risk assessment factors.

Methods: By the means of the documentary method of personally addressed inquiry we obtain essential data regarding the common health status and the variety of cares provided for the oral and dental health of children. Based on the clinical method of PLI Silness-Lȍe record, we evaluate the degree of plaque accumulation upon teeth surfaces in its capacity of a considerable marker of initiation and progression of tooth decay process. By implementation of the gingival index GI Lȍe-Silness we ascertain or disprove a state of gingival inflammation.

Results: Among the predominant portion of children with established nephrotic syndrome GI fluctuates in range of values equivalent to moderate degree of gingivitis.

Conclusion: The prevailing portion of children with nephrotic syndrome is characterized with poor oral hygiene and moderate to severe degree of gingival inflammation.

Author(s): Sirma Todorova Angelova

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