Oral manifestations in chronic kidney failure patients

Abstract

Objective: Chronic kidney failure (CKF) is a progressive deterioration of the kidneys. The goal of this study was to analyze the oral manifestation of CKF in a sample of hemodialysis and transplanted patients.Methods: Eighty-three records of patients treated in the Pro-Renal Foundation in Curitiba, Brazil were used. The records were separated in four groups: Transplanted Men (TM = 14), Transplanted Women (TW = 18), Men in Hemodialysis (MHD = 28) and Women in Hemodialysis (WHD = 23). Information about oral and systemic health condition were collected. Data from each group were submitted to correspondence analysis and quantitative variables were compared by Kruskal-Wallisand Dunn’s test. Significance level was 0.05.Results: Gingival inflammation, loss of periodontal support tissue, dental calculus and increase in periodontal probing depth were common findings in all patients, but significant association was found in following groups: TM presented dental calculus; TW presented a high prevalence of cardiovascular problems and saburral tongue; MHD presented poor oral hygiene, gingivitis associated with smoking; WHD presented a high prevalence of temporomandibular dysfunction.Conclusions: The most prevalent findings were increase in the periodontal probing depth and gingival recession. Unexpectedly, WHD group presented a high prevalence of temporomandibular dysfunction.