The Oral Health Status of Patients With Renal Disease in Central India: A Preliminary Study

Tiwari, Vidhatri; Saxena, Vrinda; Bhambhal, Ajay; Tiwari, Utkarsh; Singh, Aishwarya; Goud, Siddana

doi:10.1111/j.1755-6686.2013.12040.x

Cited by 10 publications

(30 citation statements)

References 13 publications

(12 reference statements)

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“…Table summarizes the characteristics of the studies that evaluated dental caries among individuals with CKD compared to non‐CKD individuals. Twenty studies recruited participants with CKD from specialized centers (Almeida et al, ; Al‐Nowaiser et al, ; Andrade et al, ; Bayraktar et al, ; Caliento et al, ; Cengiz et al, ; Chamani et al, ; Davidovich, Schwarz, et al, ; Ertuğrul et al, ; Jaffe et al, ; Kanjanabuch et al, ; Limeres et al, ; Martins et al, ; Pakpour et al, ; Schmalz et al, ; Sobrado Marinho et al, ; Tadakamadla et al, ; Teratani et al, ; Tiwari et al, ; Wolff et al, ). One study sought participants in a textile industry (Garcez et al, ).…”

Section: Resultsmentioning

confidence: 99%

Dental caries and developmental defects of enamel in individuals with chronic kidney disease: Systematic review and meta‐analysis

et al. 2018

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Objective To evaluate studies assessing the prevalence of dental caries and developmental defects of enamel (DDE) in individuals with chronic kidney disease (CKD) in comparison with individuals without CKD. Materials and methods Electronic searches were performed in PubMed, Web of Science, Scopus, Medline via Ovid, and ProQuest databases from their inception date until February 2018. Two review authors independently selected the studies, extracted data, and assessed the methodological quality. Meta‐analysis was performed. Results Twenty‐seven studies were included in this study. For permanent teeth, 14 studies found that individuals without CKD had higher dental caries scores than those with CKD. However, only five studies presented results with a statistically significant difference between groups. Among the studies evaluating primary teeth, five showed that individuals without CKD had higher dental caries scores than those with CKD. Five studies showed that individuals with CKD had a significantly higher prevalence of DDE than individuals without CKD. The meta‐analyses showed that individuals without CKD had significantly higher scores of dental caries teeth and surfaces than individuals with CKD. For DDE, no statistical difference between groups was observed. Conclusions Individuals with CKD present lower dental caries scores and a higher prevalence of DDE in comparison with individuals without CKD.

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Section: Resultsmentioning

confidence: 99%

Dental caries and developmental defects of enamel in individuals with chronic kidney disease: Systematic review and meta‐analysis

et al. 2018

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“…; Tiwari et al . ). Our study also demonstrated that all the patients in our haemodialysis unit had periodontal disease, and more than half were brushing their teeth less than twice a day.…”

Section: Discussionmentioning

confidence: 97%

“…; Tiwari et al . ) and it is thought that CKD and periodontitis could affect the course of each other. While periodontitis could facilitate the development of chronic inflammation in this patient population (Wasserman et al .…”

Section: Literature Reviewmentioning

confidence: 99%

Could drug burden be associated with severe periodontitis in patients receiving haemodialysis?

Yeter

Erten

İşler

et al. 2019

Journal of Renal Care

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SUMMARY Background Periodontitis increases the risk of cardiovascular disease in the general population by triggering systemic inflammation. Aim To investigate the relationship between systemic inflammation and periodontitis, and clarify any association between severe periodontitis and the medications used by patients receiving haemodialysis. Design A cross‐sectional study. Participants The study was undertaken with 56 patients receiving haemodialysis. Measurements Demographic and laboratory data and prescribed drugs regularly used by patients were recorded from hospital records. During the dialysis session, a validated Xerostomia Inventory score was completed. A complete dental/periodontal examination was also undertaken on all patients by the same periodontist. Results In the study population, stage I periodontitis was determined in 41%, stage II periodontitis in 17%, stage III periodontitis in 21%, and stage IV periodontitis in 21%. Male gender, hypertension, coronary artery disease, β antagonists, calcium channel blockers, sodium polystyrene sulphonate, teeth brushing less than twice a day and high sensitive C‐reactive protein > 8 mg/l were significantly associated with severe periodontitis. Conclusion Drugs, including β antagonists, calcium channel blockers, polystyrene sulphonate, co‐morbid conditions and poor or insufficient oral care could facilitate an increase in the severity of periodontitis in patients receiving haemodialysis. Severe periodontitis also seems to be associated with cardiovascular disease and inflammation in patients with chronic renal disease.

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“…[6] A higher percentage of periodontal disease among patients with renal disease was noted when these patients were compared with healthy individuals. [7] The prevalence and severity of chronic periodontitis in the previous cohort of chronic kidney disease patients was markedly higher than it was in a geographically matched control population in Europe. [38] In another report, poor oral health, which includes chronic periodontitis, was a common finding in patients undergoing hemodialysis, and chronic periodontitis was considered a continuous, reversible source of inflammation and this has a potential impact on mortality in patients undergoing hemodialysis.…”

Section: Discussionmentioning

confidence: 99%

“…[6] The incidence of periodontal disease (bleeding and calculus) was significantly higher among people with renal disease than among controls. [7] Recently, it was reported that periodontitis was associated with increased prevalence of inflammatory markers in end-stage renal disease patients. [8] Recent epidemiological studies have suggested that periodontitis is a major risk factor for renal failure.…”

Section: Introductionmentioning

confidence: 99%

Associations between the number of natural teeth and renal dysfunction

Choi

Han²,

Park³

et al. 2016

Medicine

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The purpose of the present study was to investigate the association between the number of natural teeth and measures of kidney dysfunction, such as urinary albumin/creatinine ratio (ACR) and estimated glomerular filtration (eGFR) rate, using nationally representative data.The data used were from the Korea National Health and Nutrition Examination Survey with cross-sectional design, which was conducted between 2011 and 2012; the sample analyzed in this study consisted of a total of 10,388 respondents, each of whom was 19 years or older and had no missing outcome variables. The association between the number of natural teeth and kidney function was assessed by multiple logistic regression and model was adjusted for age, sex, waist conference, smoking, drinking, exercise, education, income, frequency of tooth brushing per day, diabetes, metabolic syndrome, urinary ACR, and eGFR.The mean age, body mass index, and waist circumference were significantly higher among those with lower kidney function (urinary ACR ≥30 mg/g and eGFR <60 mL/min/1.73m2). Urinary ACR and eGFR were associated with loss of natural teeth. As urinary ACR increased, the number of natural teeth decreased accordingly. Conversely, the number of natural teeth increased with an increase in eGFR.This study showed that the number of natural teeth is inversely associated with the presence of kidney disease. Severity of tooth loss may be considered an independent risk indicator for kidney disease among Koreans. More epidemiological studies are warranted to investigate the role of tooth loss in kidney disease, to confirm this relationship and to test possible underlying mechanisms.

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The Oral Health Status of Patients With Renal Disease in Central India: A Preliminary Study

Abstract: This study provides evidence for greater periodontal disease amongst patients with renal disease as compared with healthy individuals.

Cited by 10 publications

References 13 publications

Dental caries and developmental defects of enamel in individuals with chronic kidney disease: Systematic review and meta‐analysis

Dental caries and developmental defects of enamel in individuals with chronic kidney disease: Systematic review and meta‐analysis

Could drug burden be associated with severe periodontitis in patients receiving haemodialysis?

Associations between the number of natural teeth and renal dysfunction

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