Is implanto-prosthodontic treatment available for haemodialysis patients?
Identifieur interne : 000977 ( Istex/Corpus ); précédent : 000976; suivant : 000978Is implanto-prosthodontic treatment available for haemodialysis patients?
Auteurs : Maciej Dijakiewicz ; Andrzej Wojtowicz ; Joanna Dijakiewicz ; Violetta Szycik ; Przemysław Rutkowski ; Bolesław RutkowskiSource :
- Nephrology Dialysis Transplantation [ 0931-0509 ] ; 2007-09.
Url:
DOI: 10.1093/ndt/gfm317
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ISTEX:13B3718909E63811E1D3CEFB48D89F1BE186EF43Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Is implanto-prosthodontic treatment available for haemodialysis patients?</title><author><name sortKey="Dijakiewicz, Maciej" sort="Dijakiewicz, Maciej" uniqKey="Dijakiewicz M" first="Maciej" last="Dijakiewicz">Maciej Dijakiewicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Wojtowicz, Andrzej" sort="Wojtowicz, Andrzej" uniqKey="Wojtowicz A" first="Andrzej" last="Wojtowicz">Andrzej Wojtowicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Dijakiewicz, Joanna" sort="Dijakiewicz, Joanna" uniqKey="Dijakiewicz J" first="Joanna" last="Dijakiewicz">Joanna Dijakiewicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Szycik, Violetta" sort="Szycik, Violetta" uniqKey="Szycik V" first="Violetta" last="Szycik">Violetta Szycik</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Rutkowski, Przemyslaw" sort="Rutkowski, Przemyslaw" uniqKey="Rutkowski P" first="Przemysław" last="Rutkowski">Przemysław Rutkowski</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Rutkowski, Boleslaw" sort="Rutkowski, Boleslaw" uniqKey="Rutkowski B" first="Bolesław" last="Rutkowski">Bolesław Rutkowski</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand 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Dijakiewicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Wojtowicz, Andrzej" sort="Wojtowicz, Andrzej" uniqKey="Wojtowicz A" first="Andrzej" last="Wojtowicz">Andrzej Wojtowicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Dijakiewicz, Joanna" sort="Dijakiewicz, Joanna" uniqKey="Dijakiewicz J" first="Joanna" last="Dijakiewicz">Joanna Dijakiewicz</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Szycik, Violetta" sort="Szycik, Violetta" uniqKey="Szycik V" first="Violetta" last="Szycik">Violetta Szycik</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Rutkowski, Przemyslaw" sort="Rutkowski, Przemyslaw" uniqKey="Rutkowski P" first="Przemysław" last="Rutkowski">Przemysław Rutkowski</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation></author><author><name sortKey="Rutkowski, Boleslaw" sort="Rutkowski, Boleslaw" uniqKey="Rutkowski B" first="Bolesław" last="Rutkowski">Bolesław Rutkowski</name><affiliation><mods:affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: bolo@amg.gda.pl</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Nephrology Dialysis Transplantation</title><idno type="ISSN">0931-0509</idno><idno type="eISSN">1460-2385</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2007-09">2007-09</date><biblScope unit="volume">22</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="2722">2722</biblScope><biblScope unit="page" to="2724">2724</biblScope></imprint><idno type="ISSN">0931-0509</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0931-0509</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader></TEI><istex><corpusName>oup</corpusName><author><json:item><name>Maciej Dijakiewicz</name><affiliations><json:string>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</json:string></affiliations></json:item><json:item><name>Andrzej Wojtowicz</name><affiliations><json:string>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</json:string></affiliations></json:item><json:item><name>Joanna Dijakiewicz</name><affiliations><json:string>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</json:string></affiliations></json:item><json:item><name>Violetta Szycik</name><affiliations><json:string>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of 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Proposal</json:string><json:string>Vix Win</json:string><json:string>Group</json:string><json:string>A. Problems</json:string><json:string>Bernard Charpentier</json:string><json:string>P. Clinical</json:string><json:string>Audibert F. Mycophenolate</json:string><json:string>Renaud Snanoudj</json:string><json:string>A. Dent</json:string></persName><placeName><json:string>Gdansk</json:string><json:string>Tulsa</json:string></placeName><ref_url><json:string>http://www.oxfordjournals.org/our_journals/ndtplus/</json:string></ref_url><ref_bibl><json:string>Sifontis et al. [3]</json:string><json:string>[4]</json:string><json:string>[6]</json:string><json:string>[2,3]</json:string><json:string>[2007]</json:string><json:string>[1]</json:string><json:string>[10]</json:string><json:string>[3]</json:string><json:string>Craig et al. [1]</json:string><json:string>[5]</json:string><json:string>[7]</json:string><json:string>[1,2]</json:string><json:string>[4,5]</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/HXZ-NDJTHDHF-D</json:string></ark><categories><wos><json:string>science</json:string><json:string>urology & nephrology</json:string><json:string>transplantation</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>urology & nephrology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Transplantation</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Nephrology</json:string></scopus></categories><publicationDate>2007</publicationDate><copyrightDate>2007</copyrightDate><doi><json:string>10.1093/ndt/gfm317</json:string></doi><id>13B3718909E63811E1D3CEFB48D89F1BE186EF43</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/13B3718909E63811E1D3CEFB48D89F1BE186EF43/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/13B3718909E63811E1D3CEFB48D89F1BE186EF43/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/13B3718909E63811E1D3CEFB48D89F1BE186EF43/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Is implanto-prosthodontic treatment available for haemodialysis patients?</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">Oxford University Press</publisher><availability><licence><p>© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-GTWS0RDP-M">oup</p></availability><date>2007-05-25</date></publicationStmt><notesStmt><note type="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note><note>See http://www.oxfordjournals.org/our_journals/ndtplus/</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Is implanto-prosthodontic treatment available for haemodialysis patients?</title><author xml:id="author-0000"><persName><forename type="first">Maciej</forename><surname>Dijakiewicz</surname></persName><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Andrzej</forename><surname>Wojtowicz</surname></persName><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Joanna</forename><surname>Dijakiewicz</surname></persName><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Violetta</forename><surname>Szycik</surname></persName><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><author xml:id="author-0004"><persName><forename type="first">Przemysław</forename><surname>Rutkowski</surname></persName><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><author xml:id="author-0005" corresp="yes"><persName><forename type="first">Bolesław</forename><surname>Rutkowski</surname></persName><email>bolo@amg.gda.pl</email><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation></author><idno type="istex">13B3718909E63811E1D3CEFB48D89F1BE186EF43</idno><idno type="ark">ark:/67375/HXZ-NDJTHDHF-D</idno><idno type="DOI">10.1093/ndt/gfm317</idno></analytic><monogr><title level="j">Nephrology Dialysis Transplantation</title><idno type="pISSN">0931-0509</idno><idno type="eISSN">1460-2385</idno><idno type="publisher-id">ndt</idno><idno type="PublisherID-hwp">ndt</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2007-09"></date><biblScope unit="volume">22</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="2722">2722</biblScope><biblScope unit="page" to="2724">2724</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2007-05-25</date></creation><textClass><keywords scheme="Journal Subject"><list><head></head><item><term>V. Varia</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head></head><item><term>Letters</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-05-25">Created</change><change when="2007-09">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/13B3718909E63811E1D3CEFB48D89F1BE186EF43/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup, element #text not found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="letter">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ndt</journal-id>
<journal-id journal-id-type="hwp">ndt</journal-id>
<journal-title>Nephrology Dialysis Transplantation</journal-title>
<issn pub-type="ppub">0931-0509</issn>
<issn pub-type="epub">1460-2385</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.1093/ndt/gfm317</article-id>
<article-categories>
<subj-group>
<subject>V. Varia</subject>
<subj-group>
<subject>Letters</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Is implanto-prosthodontic treatment available for haemodialysis patients?</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Dijakiewicz</surname><given-names>Maciej</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wojtowicz</surname><given-names>Andrzej</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Dijakiewicz</surname><given-names>Joanna</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Szycik</surname><given-names>Violetta</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Rutkowski</surname><given-names>Przemysław</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Rutkowski</surname><given-names>Bolesław</given-names></name>
<xref ref-type="aff" rid="AFF1"><sup>4</sup></xref>
</contrib>
</contrib-group>
<aff id="AFF1"><sup>1</sup>Department of Oral Surgery<break></break>Gdansk Medical University<break></break><sup>2</sup>Department of Oral Surgery<break></break>Warsaw Department of<break></break>Oral Surgery<break></break><sup>3</sup>Department of Pediatric<break></break>Dentistry, Gdansk<break></break>Medical University,<break></break><sup>4</sup>Department of Nephrology, Transplantology<break></break>and Internal Medicine Gdansk Medical University<break></break>Poland</aff>
<author-notes>
<corresp>Email: <email>bolo@amg.gda.pl</email></corresp>
<fn><p>See <ext-link ext-link-type="uri" xlink:href="http://www.oxfordjournals.org/our_journals/ndtplus/">http://www.oxfordjournals.org/our_journals/ndtplus/</ext-link></p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>9</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>5</month>
<year>2007</year>
</pub-date>
<volume>22</volume>
<issue>9</issue>
<fpage>2722</fpage>
<lpage>2724</lpage>
<copyright-statement>© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org</copyright-statement>
<copyright-year>2007</copyright-year>
</article-meta>
</front>
<body>
<p>Sir,</p>
<p>Dental problems and complications in renal patients are infrequently discussed in nephrological journals. In this context, the appearance of two publications (Original Article and Editorial Comment) dedicated to this underestimated, but very important problem in NDT seems a very positive exception [<xref ref-type="bibr" rid="B1">1</xref>,<xref ref-type="bibr" rid="B2">2</xref>]. Underdiagnosed and untreated periodontitis and other gingival changes may in consequence lead to odontogenic bacteriemic episodes and the development of potentially serious infections, e.g. infective endocarditis. One must remember that ESRD patients are immunodeficient, a condition caused by disturbances of the cellular and humoral immunological response [<xref ref-type="bibr" rid="B3">3</xref>]. On the other hand, patients after renal transplantation may develop a very specific type of gingival hyperplasia and subsequent periodontitis caused by cyclosporine. We recently published our experience with this subject, taking into account treatment performed on patients after successful renal transplantation [<xref ref-type="bibr" rid="B4">4</xref>,<xref ref-type="bibr" rid="B5">5</xref>]. In the second paper, we proposed a diagnostic and therapeutic algorithm based on our experience and literature search. We wish to draw attention to another important issue related to the availability of modern dental implantology in ESRD patients. In their comments, Craig <italic>et al</italic>. [<xref ref-type="bibr" rid="B1">1</xref>] suggested that ‘osseous periodontal surgical procedures such as bone grafting or dental implants may be contraindicated in patients with significant renal osteodystrophy’. This suggestion was based on the results of studies performed several years ago. Unfortunately, this type of opinion is quite common both in dental and nephrological literature [<xref ref-type="bibr" rid="B6">6</xref>]. In the last 5 years, we have performed several studies in patients treated with maintenance haemodialysis and afte successful renal transplantation leading to opposite conclusions, showing that this type of treatment is applicable to ESRD patients [<xref ref-type="bibr" rid="B7 B8 B9">7–9</xref>]. In <xref ref-type="table" rid="T1">Table 1</xref>, the availability of implants in 100 haemodialysis patients is shown. Results were compared with a control group of 50 healthy persons, with similar age and gender. Studies included radiometric analysis in digital dental panoramic tomography (DPT) using implantological template by Nobel Biocare. Multivariance analysis consists of:
<list list-type="bullet">
<list-item><p>radiometric, mathematical Fourier's and densitometric analysis of the jaw bones;</p></list-item>
<list-item><p>Nobel Direct implants simulation, using implantological template and digital pantomography system Planmeca, Vix Win 2000;</p></list-item>
<list-item><p>histological and histomorphometrical analysis of jaws bone tissue samples</p></list-item>
<list-item><p>jaws mineral bone qualitative analysis using EPR (electron paramagnetic resonance methodology)</p></list-item>
<list-item><p>evaluation of biochemical markers of bone metabolism (calcium, phosphate, PTH, alkaline phosphatase). Analysis of the obtained results performed using multiple regression and correlation tests (Statistica 7,0, StatSoft, Tulsa, USA) Evaluation of the degree of jaw bones decline in place of dental implants installation in reference to the status of renal osteodystrophy: frequency and duration of the haemodialysis period was also performed.</p></list-item></list>
<table-wrap id="T1"><label><bold>Table 1.</bold></label><caption><p>Comparison of the availability of implant installation at maxilla or mandible between control group and HD patients</p></caption>
<table frame="hsides">
<thead align="left">
<tr>
<th colspan="3">Availability of implant installation Place/Group ◂ (%)</th>
<th>No possibility</th>
<th>10 mm length implant (%)</th>
<th>13 mm length implant (%)</th>
<th>16 mm length implant (%)</th></tr></thead>
<tbody align="left">
<tr>
<td>Maxilla</td>
<td>Control group <italic>n</italic> = 50</td>
<td></td>
<td>–</td>
<td>28</td>
<td>24</td>
<td>48</td></tr>
<tr>
<td></td>
<td>HD Patients <italic>n</italic> = 100</td>
<td>Dialysed ≤2 years</td>
<td>–</td>
<td>40</td>
<td>40</td>
<td>20</td></tr>
<tr>
<td></td>
<td></td>
<td>Dialysed ≤4 years</td>
<td>–</td>
<td>30</td>
<td>53</td>
<td>17</td></tr>
<tr>
<td></td>
<td></td>
<td>Dialysed ≤6 years</td>
<td>–</td>
<td>28</td>
<td>55</td>
<td>28</td></tr>
<tr>
<td>Mandible</td>
<td>Control group <italic>n</italic> = 50</td>
<td></td>
<td>–</td>
<td>20</td>
<td>52</td>
<td>28</td></tr>
<tr>
<td></td>
<td>HD Patients <italic>n</italic> = 100</td>
<td>Dialysed ≤2 years</td>
<td>4</td>
<td>44</td>
<td>44</td>
<td>8</td></tr>
<tr>
<td></td>
<td></td>
<td>Dialysed ≤4 years</td>
<td>11</td>
<td>51</td>
<td>33</td>
<td>5</td></tr>
<tr>
<td></td>
<td></td>
<td>Dialysed ≤6 years</td>
<td>13</td>
<td>37</td>
<td>42</td>
<td>8</td></tr></tbody></table></table-wrap></p>
<p>Detailed data showing the results of consecutive steps of examination performed in ESRD patients were published elsewhere [<xref ref-type="bibr" rid="B7 B8 B9">7–9</xref>].</p>
<p>The analysis shows a decreased quantity and quality of bone tissue of the maxilla and mandible in renal osteodystrophy. Nevertheless, according to internationally recognized standards, these changes were not a contraindication to implantological treatment. This thesis was confirmed in clinical practice because we observed normal function of the implants in patients suffering from renal osteodystrophy, who had received implants many years previously. In general, these patients need more frequent professional advice on oral hygiene and microbiological control using RT-PCR (unpublished data).</p>
<p>Only four patients were potentially excluded from this procedure dependent on the time of haemodialysis therapy, due to the inappropriate state of their mandible (low bone density and considerable bone decrease). No exclusions were noted on potential implant installation in the maxilla.</p>
<p>In conclusion, the results of our studies clearly show that in the large majority of patients on renal replacement therapy, implantological treatment is possible. Nevertheless, taking into account all specific circumstances (potential use of immunosuppression, higher risk of infection, etc.) it is necessary to establish a special diagnostic and therapeutical algorithm regulating implantological procedures in these patients [<xref ref-type="bibr" rid="B10">10</xref>].</p>
<p><italic>Conflict of interest statement</italic>. None declared.</p>
</body>
<back>
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</article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Is implanto-prosthodontic treatment available for haemodialysis patients?</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Is implanto-prosthodontic treatment available for haemodialysis patients?</title></titleInfo><name type="personal"><namePart type="given">Maciej</namePart><namePart type="family">Dijakiewicz</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrzej</namePart><namePart type="family">Wojtowicz</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Joanna</namePart><namePart type="family">Dijakiewicz</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Violetta</namePart><namePart type="family">Szycik</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Przemysław</namePart><namePart type="family">Rutkowski</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Bolesław</namePart><namePart type="family">Rutkowski</namePart><affiliation>Department of Oral SurgeryGdansk Medical UniversityDepartment of Oral SurgeryWarsaw Department ofOral SurgeryDepartment of PediatricDentistry, GdanskMedical University,Department of Nephrology, Transplantologyand Internal Medicine Gdansk Medical UniversityPoland</affiliation><affiliation>E-mail: bolo@amg.gda.pl</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="letter" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">2007-09</dateIssued><dateCreated encoding="w3cdtf">2007-05-25</dateCreated><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><note type="footnotes">See http://www.oxfordjournals.org/our_journals/ndtplus/</note><relatedItem type="host"><titleInfo><title>Nephrology Dialysis Transplantation</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><topic>V. Varia</topic></subject><subject><topic>Letters</topic></subject><identifier type="ISSN">0931-0509</identifier><identifier type="eISSN">1460-2385</identifier><identifier type="PublisherID">ndt</identifier><identifier type="PublisherID-hwp">ndt</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>2722</start><end>2724</end></extent></part></relatedItem><identifier type="istex">13B3718909E63811E1D3CEFB48D89F1BE186EF43</identifier><identifier type="DOI">10.1093/ndt/gfm317</identifier><accessCondition type="use and reproduction" contentType="copyright">© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. 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