Oral Manifestations in Diabetic and Nondiabetic Chronic Renal Failure Patients on Hemodialysis

Dental and periodontal health, and microbiological and salivary conditions in patients with or without diabetes undergoing haemodialysis

“…In the international literature, the prevalence of severe periodontitis ranges from 0% to 24%, with periodontitis being more severe in patients with DM. For moderate periodontitis, the prevalence ranges from 10% to 62%. These results do not correspond to those of the current study, which may be because of different classification criteria and the fact that the patients in the current study had well‐controlled DM [glycated haemoglobin (HbA1c): 6.3 ± 1.2%].…”

“…The international literature on the influence of DM on DMF‐T in patients treated with HD is contradictory. While three studies showed a significantly higher DMF‐T in patients with DM, another study showed no difference.…”

“…Taking into account the findings of DMS IV (moderate periodontitis: 45.3% for age range 35–44 years and 54.1% for age range 65–74 years; severe periodontitis: 46.9% for age range 35–44 years and 24.0% for age range 65–74 years), the current study found that patients undergoing HD had a higher prevalence of severe periodontitis regardless of their DM status, while moderate periodontitis was more prevalent in DMS IV. In the international literature, the prevalence of severe periodontitis ranges from 0% to 24%, with periodontitis being more severe in patients with DM. For moderate periodontitis, the prevalence ranges from 10% to 62%.…”

“…In addition, low PBI and low BOP values indicate only mild gingival inflammation. Neither DMS IV nor comparable studies took these parameters into consideration.…”

“…Consequently, poor periodontal health conditions in patients with DM and CRF, who are treated with HD, could be caused by both renal disease and DM. Only a few studies on oral health in patients with DM undergoing HD are available, and these focus mainly on clinical parameters. However, apart from these parameters, additional factors which have an influence on oral health might be of relevance.…”