Evaluation of periodontal condition and risk in patients with chronic kidney disease on hemodialysis

Abstract

Objective To establish a profile of periodontal conditions in chronic kidney disease patients on hemodialysis and their periodontal risk.Methods We included 115 patients on hemodialysis. Clinical periodontal parameters assessed were: plaque index, gingival index, probing depth and clinical attachment level. Patients were classified according to presence/absence and severity of periodontal disease and periodontal risk.Results In 107 dentate patients (93%) the plaque index was 1.53±0.78, the gingival index was 0.95±0.85, the probing depth was 2.2±0.6mm and the clinical attachment level was 3.18±1.75mm. We observed that 1 patient (0.94%) did not have periodontal disease, 55 patients (51.40%) had slight, 28 (26.17%) moderate and 23 (21.49%) severe periodontal disease. Among 107 patients, 37 (34.58%) had low risk, 35 (32.71%) moderate risk and 35 (32.71%) high risk. Patients with severe periodontal disease showed 104.5 more chance of high risk compared with low risk individuals (odds ratio: 104.5; 95%CI: 10.7-1017.2; p<0.0001).Conclusion Most of patients with chronic renal disease presented periodontal disease, indicating the presence of chronic inflammatory and infection process that may influence in systemic conditions. A prevention and interventionist approach in this population is needed, especially to emphasize the importance of oral health. The periodontal risk assessment is a useful tool to create individualized periodontal therapies and to improve general health condition.

Estado de salud periodontal de pacientes trasplantados renales y calidad de vida asociada. Estudio exploratorio

“…Valoración de la salud bucal. Treinta pacientes fueron examinados clínicamente por un solo examinador estandarizado (Kappa= 0,79) en el índice de extensión y severidad 15,37-39 clasificando la enfermedad periodontal de acuerdo a estándares establecidos por la Academia Americana de Periodontología (1999) 38,40 .…”

Alterações Microestruturais Do Esmalte Dentário Submetidos a Imersões Em Águas Saborizadas Ácidas

“…Este profissional servirá como uma base no diagnóstico das condições bucais e como aliado na terapêutica médica, seja em procedimentos de emergência diante aos traumas, em procedimentos preventivos e terapêuticos proporcionando maior conforto do paciente e para terem o meio bucal satisfatório (SILVA et al, 2017 A DRC tem efeitos bem documentados sobre tecidos bucais como xerostomia, atraso na erupção dentária, hipoplasia do esmalte, calcificação dos canais radiculares e alterações salivares nos níveis de pH CHOI et al, 2016;KIM et al, 2017;WAHID et al, 2013). Os tecidos gengivais apresentam-se com tom relativamente pálido devido à redução dos níveis de hemoglobina (anemia resultante do déficit na eritropoetina), resultando também numa reposta inflamatória diminuída e inadequada ao biofilme bacteriano (DIOGUARDI et al, 2016).…”

Quality of life and periodontal health of patients submitted to hemodialysis

“…It's included as CKD, chronic renal failure, end-stage renal disease with glomerulonephritis, diabetic and hypertensive nephropathy, and complications associated with hemodialysis and kidney transplantation. Some oral manifestations may be triggered by this disease, such as xerostomia, uremic stomatitis, radiographic changes of the maxillary bones and dental calculus training [4].…”

“…Studies are currently being conducted due to direct association between development of periodontal disease and CKD progressivity [4]. According to Palmer, et al (2016), conducted to assess severity and prevalence of oral diseases and determine risk factors associated with hemodialysis, the percentage of patients with moderate to severe periodontitis is 40.6% [6].…”