Pediatric Nephrology

, Volume 21, Issue 6, pp 851–855 | Cite as

Four-year follow-up of oral health surveillance in renal transplant children

  • Pierre FargeEmail author
  • Bruno Ranchin
  • Pierre Cochat
Original Article


To outline the specific oral surveillance needs of renal transplant children, we report the 4-year follow-up data of 106 children examined routinely on a 6-month basis and upon request from the medical team or the parents in the interval. Data were recorded for hard and soft dental tissues, including enamel defects carious lesions, gingival status, orthodontic treatment needs, and wisdom teeth eruption. Hard-tissue lesions were noted in 34.9% of the children, caries lesions on the permanent teeth were seen in 15.0% of cases, 18.86% of the patients had orthodontic treatment. Spontaneous examination, upon request for medical reasons, was given for 26 children. Twenty-one demands originated from the parents. Over a 4-year period the attendance of a dental specialist resulted in a significant improvement in the oral health of the renal transplant children.


Oral health Surveillance Renal transplant Follow-up 


  1. 1.
    King GN, Thornhill MH (1996) Dental attendance patterns in renal transplant recipients. Oral Dis 2:145–147CrossRefGoogle Scholar
  2. 2.
    Eigner TL, Jastak JT, Bennett WM (1986) Achieving oral health in patients with renal failure and renal transplants. J Am Dent Assoc 113:612–616CrossRefGoogle Scholar
  3. 3.
    Afonso M, Bello Vde O, Shibli JA, Sposto MR (2003) Cyclosporin A-induced gingival overgrowth in renal transplant patients. J Periodontol 74:51–56CrossRefGoogle Scholar
  4. 4.
    Al Nowaiser A, Lucas VS, Wilson M, Roberts GJ, Trompeter RS (2004) Oral health and caries related microflora in children during the first three months following renal transplantation. Int J Paediatr Dent 14:118–126CrossRefGoogle Scholar
  5. 5.
    Al-Nowaiser A, Roberts GJ, Trompeter RS, Wilson M, Lucas VS (2003) Oral health in children with chronic renal failure. Pediatr Nephrol 18:39–45CrossRefGoogle Scholar
  6. 6.
    Chabria D, Weintraub RG, Kilpatrick NM (2003) Mechanisms and management of gingival overgrowth in paediatric transplant recipients: a review. Int J Paediatr Dent 13:220–229CrossRefGoogle Scholar
  7. 7.
    Thomas DW, Newcombe RG, Osborne GR (2000) Risk factors in the development of cyclosporine-induced gingival overgrowth. Transplantation 69:522–526CrossRefGoogle Scholar
  8. 8.
    Duran I, Erdemir EO (2004) Periodontal treatment needs of patients with renal disease receiving haemodialysis. Int Dent J 54:274–278CrossRefGoogle Scholar
  9. 9.
    Cohen D, Galbraith C (2001) General health management and long-term care of the renal transplant recipient. Am J Kidney Dis 38 [Suppl 6]:S10–S24CrossRefGoogle Scholar
  10. 10.
    Davenport CF, Elley KM, Fry-Smith A, Taylor-Weetman CL, Taylor RS (2003) The effectiveness of routine dental checks: a systematic review of the evidence base. Br Dent J 195:87–98CrossRefGoogle Scholar
  11. 11.
    Nunn JH, Sharp J, Lambert HJ, Plant ND, Coulthard MG (2000) Oral health in children with renal disease. Pediatr Nephrol 14:997–1001CrossRefGoogle Scholar
  12. 12.
    Burden DJ, Pine CM, Burnside G (2001) Modified IOTN: an orthodontic treatment need index for use in oral health surveys. Community Dent Oral Epidemiol 29:220–225CrossRefGoogle Scholar
  13. 13.
    Schulte A, Rossbach R, Tramini P (2001) Association of caries experience in 12-year-old children in Heidelberg, Germany, and Montpellier, France, with different caries preventive measures. Community Dent Oral Epidemiol 29:354–361CrossRefGoogle Scholar
  14. 14.
    Pieper K, Schulte AG (2004) The decline in dental caries among 12-year-old children in Germany between 1994 and 2000. Community Dent Health 21:199–206PubMedGoogle Scholar
  15. 15.
    Nishi M, Stjernsward J, Carlsson P, Bratthall D (2002) Caries experience of some countries and areas expressed by the Significant Caries Index. Community Dent Oral Epidemiol 30:296–301CrossRefGoogle Scholar
  16. 16.
    Mesa FL, Osuna A, Aneiros J, Gonzalez-Jaranay M, Bravo J, Junco P, Del Moral RG, O’Valle F (2003) Antibiotic treatment of incipient drug-induced gingival overgrowth in adult renal transplant patients. J Periodontal Res 38:141–146CrossRefGoogle Scholar
  17. 17.
    Kantarci A, Cebeci I, Tuncer O, Carin M, Firatli E (1999) Clinical effects of periodontal therapy on the severity of cyclosporine A-induced gingival hyperplasia. J Periodontol 70:587–593CrossRefGoogle Scholar
  18. 18.
    Seymour RA, Smith DG (1991) The effect of a plaque control programme on the incidence and severity of cyclosporin-induced gingival changes. J Clin Periodontol 18:107–110CrossRefGoogle Scholar
  19. 19.
    Spratt H, Boomer S, Irwin CR, Marley JJ, James JA, Maxwell P, Middleton D, Linden GJ (1999) Cyclosporin associated gingival overgrowth in renal transplant recipients. Oral Dis 5:27–31CrossRefGoogle Scholar
  20. 20.
    Slots J (2004) Update on human cytomegalovirus in destructive periodontal disease. Oral Microbiol Immunol 19:217–223CrossRefGoogle Scholar
  21. 21.
    Eloot AK, Vanobbergen JN, De Baets F, Martens LC (2004) Oral health and habits in children with asthma related to severity and duration of condition. Eur J Paediatr Dent 5:210–215PubMedGoogle Scholar
  22. 22.
    Al-Sarheed M, Bedi R, Hunt NP (2004) The views and attitudes of parents of children with a sensory impairment towards orthodontic care. Eur J Orthod 26:87–91CrossRefGoogle Scholar
  23. 23.
    Tausche E, Luck O, Harzer W (2004) Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod 26:237–244CrossRefGoogle Scholar

Copyright information

© IPNA 2006

Authors and Affiliations

  1. 1.Département de PédiatrieHôpital Edouard HerriotLyonFrance

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