Oral Health of Patients with Chronic Kidney Disease Undergoing Hemodialysis
Keywords:
chronic kidney disease, oral health status, periodontal disease, CPI, DMFT.Abstract
Background: The association between oral diseases and kidney diseases are not satisfactorily reported in population of Basrah city in Iraq. The aim of the study was to assess and compare the oral health of patients with chronic kidney disease on maintenance hemodialysis with systemically healthy individuals. Materials and methods: Study of 100 subjects, 50 patients with chronic kidney disease on maintenance hemodialysis who were referred from hemodialysis Clinic at Basrah Nephrology and Transplantation Center and 50 patients without chronic kidney disease who consult the dental clinic (control group). Oral health assessment includes two parts: index for dental caries (DMFT index), and index for periodontal health (CPI). Results: Results illustrate that periodontal disease was more sever in patients with CKD, this difference between two groups was statistically significant (P < 0.05). Regarding the caries incidence, (DMFT) mean value in CKD group (4.48) was lower than in controlled (8.42) but no statistically significant difference was found (P> 0.05).
Downloads
References
- Sobrado Marinho JS, Tomas Carmona I,
Loureiro A, Limeres Posse J, Garcia Caballero L,
Diz Dios P. Oral health status in patients with
moderate-severe and terminal renal failure. Med
Oral Patol Oral Cir Bucal 2007;12: E305-10.
- Miyata Y, Obata Y, Mochizuki Y, Kitamura
M, Mitsunari K, Matsuo T, Ohba K, Mukae
H, Nishino T, Yoshimura A, Sakai H.
Periodontal Disease in Patients Receiving
Dialysis. Int J Mol Sci. 2019; 20(15):3805.
- Rose BD. Manual of clinical problems in
nephrology. Boston: Little Brown; 1998.
- Klassen JT, Krasko BM. The dental health
status of dialysis patients. J Can Dent Assoc
; 68:34-8.
- Chapple ILC, Genco R, Working Group 2 of the
Joint EFP & AAP Workshop. Diabetes and
periodontal diseases: consensus report of the
Joint EFP/ AAP Workshop on Periodontitis and
Systemic Diseases. J Clin Periodontol. 2013;40:
S106-S12.
- Linden GJ, Herzberg MC. Periodontitis and
systemic diseases: a record of discussions of
working group 4 of the Joint EFP/AAP
Workshop on Peri- odontitis and Systemic
Diseases. J Clin Periodontol. 2013;40: S20—3.
- Davidovich E, Schwarz Z, Davidovich M,
Eidelman E, Bimstein E. Oral findings and
periodontal status in children, adolescents and
young adults suffering from renal failure. J Clin
Periodontol 2005; 32:1076-82
- Klassen JT, Krasko BM. The dental health
status of dialysis patients. J Can Dent Assoc
; 68:34-8.
- Proctor R, Kumar N, Stein A, Moles D, Porter S.
Oral and dental aspects of chronic renal failure. J
Dent Res 2005; 84:199-208.
- Organization WH. Oral health surveys: basic
methods. World Health Organization; 1997.
- Pihlstrom BL, Michalowicz BS, Johnson NW.
Periodontal diseases. Lancet 2005; 366:1809—
- Kshirsagar AV, Craig RG, Moss KL, BeckJD,
Offenbacher S, Kotanko P, Klemmer PJ,
Yoshino M, Levin NW, Yip JK, et al.
Periodontal disease adversely affects the
survival of patients with end-stage renal
disease. Kidney Int. 2009; 75:746—751.
- Balaji SM, Seeberger GK, Hennedige O. Burden
of oral diseases and noncommunicable diseases:
An Asia-Pacific perspective. Indian J. Dent. Res.
; 29:820-829.
- Akar H, Akar GC, Carrero JJ, Stenvinkel P,
Lindholm B. Systemic consequences of poor
oral health in chronic kidney disease
patients. Clin. J. Am. Soc. Nephrol. 2011;
:218-226.
- Marakoglu I, Gursoy K, Demirer S, Sezer H.
Periodontal status of chronic renal failure
patients receiving hemodialysis. Yonsei Med J
; 44:648-52.
- Naugle K, Darby ML, Bauman DB,
Lineberger LT, Powers R. The oral health
status of individuals on renal dialysis. Arm
Periodontol 1998; 3:197-05.
- Sobrado Marinho JS, Tomas Carmona I,
Loureiro A, Limeres Posse J, Garcia Caballero L, Diz Dios P. Oral health status in
patients with moderate-severe and terminal
renal failure. Med Oral Patol Oral Cir Bucal
;12: E305-10.
- Murthy AK, Hiremath SS. Assessment of oral
status of patients undergoing renal dialysis in a
hospital at Bangalore city. J Indian Assoc
Public Health Dent 2005; 5:35-8.
- Parkar SM, Ajithkrishnan CG. Periodontal
status in patients undergoing hemodialysis.
Indian J Nephrol 2012; 22:246-50.
- Borawski J, Wilczy ska-Borawska M,
Stokowska W, My liwiec M. The periodontal
status of pre-dialysis chronic kidney disease
and maintenance dialysis patients. Nephrol
Dial Transplant 2007; 22:457-64.
- Alamo S, Esteve C, Perez MG. Dental
considerations for the patient with renal
disease. J. Clin. Exp. Dent. 2011, 3, el 12—
el19.
- Balaji SM, Seeberger GK, Hennedige O.
Burden of oral diseases and
noncommunicable diseases: An Asia-Pacific
perspective. Indian J. Dent. Res. 2018;
:820-829.
- Al-Nowaiser A, Roberts GJ, Trompeter RS,
Wilson M, Lucas VS. Oral health in children
with chronic renal failure. Pediatr Nephrol.
; 18:39-45.
- Wolff A, Stark H, Sarnat H, Binderman I,
EisensteinB, Drukker A. The dental status of
children with chronic renal failure. Int J.
Pediatr NphroL 1985; 6:127-132.
- Martins C, Siqueira WL, Primo LSSG. Oral
and salivary flow characteristics of a group of
Brazilian children and adolescents with
chronic renal failure. Pediatr NphroL 2008;
:619-624.
- Proctor R, Kumar N, Stein A, Moles D, Porter S. Oral and dental aspects of chronic renal failure. J Dent Res. 2005; 84:199-208
- Jaffe E, Robert G, Chantier C. Dental findings in chronic renal failure. Br Dent J. 1986; 160:18-20.
- Nunn JH, Sharp J, Lambert HJ, Plant ND, Coulthard MG. Oral health in children with renal disease. Pediatr Nephrol. 2000; 14:997- 1001.
- Ertugrul F, Elbek-Cubukgu C, Sabah E, Mir S. The oral health status of children undergoing hemodialysis treatment. Turk J Pediatr. 2003; 45:108-13.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.