A case of teeth extraction with consideration of nutritional control in an inpatient undergoing diabetic hemodialysis

Abstract

The number of dialysis patients due to diabetic nephropathy has been annually increasing. Malnutrition in the dialyzed patients is known as a significant risk factor in influencing the mortality rate.
A 67-year-old male suffering from diabetes mellitus undergoing hemodialysis and many other systemic involvements was referred to our clinic with masticatory dysfunction resulting from severe periodontitis. He was hospitalized and underwent teeth extraction with strict nutritional control. Management of infection, bleeding and cardiovascular conditions were performed. After extraction, the tooth sockets were packed with gelatin sponge and sutured. Prefabricated temporary denture was set and pressure was applied to the tooth sockets by biting. We had planned for an adequate postoperative control of energy, protein and fluid intake, so that an early improvement of the patient's diet pattern could be obtained.
The considerations applied for this dialyzed diabetic inpatient with various systemic involvements not only contributed in the improvement of the patient's quality of life but is also postulated to have favorable effects on the mortality of these patients.