Oral management of children with Henoch-Schönlein Purpura and associated Glomerulonephritis: a scoping review

Authors:

ABSTRACT

Aim

To perform a scoping review of the existing literature in order to gather the most relevant information in the paediatric
dentistry field related to the oral management of children affected by Henoch-Schönlein Purpura and associated Glomerulonephritis
(HSPG).

Methods

Using scoping review methodology for the screening and selection of valid articles, the steps of
this review were the following: first, to pose a research question; second, to identify relevant studies; third, to select and retrieve the
studies; fourth, to chart the critical data, and finally, to collate, summarise, and report the results from the included articles. Relevant
articles published over a 25-year period, up to July 31, 2017, were identified and retrieved from four Internet databases: PubMed;
EMBASE/Ovid; Ebsco/Dentistry & Oral Science Source, and the Cochrane Collaboration Library.

Results

By title and abstract
screening and after removing duplicates, four articles were finally included in the scoping review. According to the extracted data, the
following are the most important clinical issues to be considered: (1) the disease can appear as a consequence of a dental treatment,
such as those indicated for oral infectious processes; (2) children with HSPG are highly susceptible to dental caries and apical
periodontitis, and (3) in affected children, oral infectious foci must be exhaustively eradicated in order to avoid the dissemination of the
infection. CONCLUSIONS: Paediatric Dentists should be aware of HSPG, because the disease can be triggered or worsen
subsequent to dental treatment. Adequate treatment of oral active infectious processes, together with an exhaustive oral preventive
programme and long-term patient screening, are the best management approaches for children with HSPG.

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