Surgical Treatment for Patients With Periodontal Disease Reduces Risk of End‐Stage Renal Disease: A Nationwide Population‐Based Retrospective Cohort Study

Abstract

Patients with periodontal disease who undergo procedures for subgingival curettage and/or periodontal flap have a remarkably decreased risk of ESRD.

Periodontal treatment in patients with chronic kidney disease: a pilot study

“…Lee et al . concluded that surgical periodontal treatment reduced end stage renal disease risk in a retrospective cohort study based on insurance claims data. These authors did not evaluate CKD progression and surgical periodontal treatment was based on procedure codes.…”

Association Between Periodontal Disease and Kidney Function Decline in African Americans: The Jackson Heart Study

“…The strength of the association found suggests that periodontal disease may be an important contributor to racial and ethnic disparities in CKD prevalence and progression. One prior study using Taiwanese insurance claim data found that patients with periodontal disease who underwent procedures of subgingival curettage and/or periodontal flap had a 40% lower likelihood of incident end‐stage renal disease as defined by International Classification of Diseases, Ninth Revision codes than those who did not undergo those procedures 20 . Given the low sensitivity of claims‐based ascertainment of end‐stage renal disease, further investigation for the effect of treating periodontal disease on kidney function decline is warranted 21 …”

The clinical response and systemic effects of non‐surgical periodontal therapy in end‐stage renal disease patients: a 6‐month randomized controlled clinical trial

“…), and retrospective cohort studies (Lee et al. ). Some interventional studies have applied different therapies to reduce periodontal inflammation, such as extensive periodontal therapy, pocket‐reduction surgery or local administration of antibiotics (Siribamrungwong & Puangpanngam , Wehmeyer et al.…”