Oral health of a Brazilian population on renal dialysis

Abstract

The purpose of this study was to assess the oral health of patients with chronic renal failure (CRF) undergoing hemodialysis in Brazil. A dentist examined 160 subjects aged 40 to 85 years of age. Data was collected on dental caries, use of and need for dentures, oral mucosa, periodontal disease and temporomandibular joint status. All subjects were interviewed about their socioeconomic status, dental and medical history, and oral hygiene habits. Most subjects had hypertension (49.4%); used the public service for their medical care (69.4%); had a middle school educational level (83.1%); and did not complain of xerostomia (60.0%). The majority used private oral healthcare services and used a toothbrush only for oral hygiene. The mean DMFT was 26.0 (standard deviation 7.7). Most individuals did not wear dentures, but needed some type of prosthesis. Lesions of the oral mucosa (3.1%), signs (2.5%) and symptoms (3.8%) of temporomandibular dysfunction could be observed in only a few patients. The oral health of the subjects examined was poor. These persons needed their oral condition monitored by a dentist and their oral disease treated as well as receiving instruction on oral hygiene.

The directional and non‐directional associations of periodontitis with chronic kidney disease: A systematic review and meta‐analysis of observational studies

“…Table describes the characteristics of 7 case‐control studies and 38 cross‐sectional studies on the non‐directional association, and lists them in reverse publication order . Among them, 24 had a statistical analysis, but 7 did not consider any confounding factors (Appendix A) .…”

The assessment of prosthetic needs of ESRD patients and the general population in Poland on the basis of the Eichner classification and teeth number: A brief, preliminary report

“…17 According to Cunha et al, the percentage of patients undergoing dialysis in need of prosthetic treatment is around 80%. 18 The oral health state of ESRD and general population patients are equally alarming. The possible reason for the high level of prosthetic needs of patients are definitely not the changes related to the end-stage renal disease, but it might be the inadequate Polish social medical insurance system.…”

Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care

“…The questionnaire was based on previous studies 1,2,5,13,14 and was submitted to the evaluation of two researchers in Dentistry and Public Health. Testing and re-testing of the questionnaire was performed to evaluate its internal validity.…”

“…This disease presents a high mortality index, being a public health problem [2][3][4] . In Brazil, the rates of CKD have considerably increased 3,5 .…”

“…A notable number of individuals with CKD present high prevalence of periodontal diseases and dental caries. This may be explain by the fact that they are immunosuppressed, and also, frequently associated with deficient oral hygiene, presence of dental plaque and dental calculus 1,[4][5][6][7][8] .…”