Latest Concepts in the Endodontic Management of Kidney Patients

TL;DR

This paper reviews the latest endodontic management strategies for kidney patients, emphasizing the importance of proper care to prevent systemic complications.

Contribution

The paper provides updated guidelines on managing kidney patients in endodontic practice, focusing on anesthesia, pain control, and antibiotic use.

Findings

Proper endodontic management of kidney patients requires special attention to anesthesia and pain control.

Antibiotic stewardship and prophylaxis are crucial to prevent systemic complications in kidney patients.

Oral manifestations of kidney disease can guide endodontists in diagnosing and managing these patients effectively.

Abstract

Doubtlessly, kidney patients present a common challenge in endodontic practice, so specialists in this field should know and follow several key points regarding this group of medically compromised patients. This review paper aims to explain kidney disease and its complications, as well as notify and discuss the latest concepts on anesthesia, pain management, antibiotic prophylaxis/stewardship, and the risk of viral diseases for these patients, and also the oral manifestations of kidney diseases that may guide endodontists to diagnose kidney intervention and prevent hazardous consequences that may happen during or following endodontic practice on these patients. For this purpose, relevant keywords were searched on Scopus, PubMed, Medline, and Web of Science to find published papers from 1980 to July 2023. Based on the quality, validity, and novelty 57 published articles were selected to provide this review to notify the most important concepts and considerations regarding endodontic management of kidney patients. Overall, it is concluded that training and education of general dentists, as well as endodontic specialists with strong technical, scientific, human, and moral knowledge about kidney patients, with emphasis on the philosophy of prevention of common dangerous systemic consequences originating from endodontic treatments, is the responsibility of dental schools in undergraduate as well as post-graduate programs.