Comparative Evaluation of General Oral and Periodontal Health Status of Chronic Kidney Disease (CKD) patients in Various Stages admitted to Sharif Medical and Dental College, Lahore, and Healthy Controls (original) (raw)
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Assessment of Oral and Periodontal Parameters in Patients with End-Stage Chronic Kidney Disease*
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Summary: The purpose of the study was to assess the oral cavity status in patients with terminal chronic kidney disease (CKD) undergoing haemodialysis.: The study comprised 69 patients with end-stage CKD undergoing haemodialysis regime. The data regarding the age, gender, environment, associated diseases were obtained from the clinical medical histories. The patients were submitted to clinical examination, which also included the periodontal probing and the gingival bleeding assessment. The type of edentulous ridge was recorded. Each patient filled a questionnaire offering data regarding the oral hygiene habits, diet, bad habits and the presence/absence of xerostomia.: The main cause for end-stage CKD was renal, followed by diabetes mellitus and arterial hypertension. The main associated diseases to CKD were clearly secondary arterial hypertension and secondary anaemia; other associated diseases were represented by cardiac diseases, hepatitis, gastro-intestinal diseases, secondary h...
Periodontal and chronic kidney diseases: A modifiable association
Journal of Contemporary Medical Sciences, 2021
Objectives: The purpose of this study was to assess the relationship between periodontal diseases and CKD duration. Methods: This descriptive cross-sectional study was conducted on referral CKD patients to a teaching hospital in 2017. Two instruments were used for data collection. The first one was a self-reported questionnaire regarding oral health status and patients’ behaviors. The second questionnaire was used for the clinical assessment of oral health status. Results: Out of 192 patients, 46.9% were male and 53.1% female with a mean (SD) age of 51.9 (±15.1) years. The mean duration of CKD was 7.70 (±7.34) years. About 67.7% of patients experienced toothache in the past year. Also, 67.7% had gingival bleeding (BOP), 34.4% had Clinical Attachment Loss (CAL) > 4 mm, and over 50% of patients had a pocket depth (PD) > 4 mm. By controlling the patient’s age, a direct correlation was detected between the duration of CKD and DMFT index (r=0.64, P<0.001). Moreover, the prolonga...
International Journal Of Community Medicine And Public Health, 2020
Background: Chronic kidney disease (CKD) is an increasing health concern worldwide. In addition to systemic changes, kidney disease patients also present with oral complications. The objectives of the study were to assess and compare the oral health status in patients with CKD (with diabetes and without diabetes) undergoing dialysis and not undergoing dialysis aged between (30-70) years and controls in Mangalore, South India.Methods: A descriptive cross-sectional study was conducted among 160 adults with various types of kidney disease and controls, attending a tertiary care hospital in Mangalore. Oral health status was assessed using WHO oral health assessment form for adults 2013. Oral hygiene was assessed by using simplified oral hygiene index and gingival status was assessed by using modified gingival index.Results: Number of decayed teeth was more among controls, and number of missing teeth was more among CKD patients. Diabetic CKD patients who were not on dialysis had highest ...
Impact of Dialysis on Periodontal and General Oral Health of Chronic Kidney Disease Patients
Pakistan Journal of Medical and Health Sciences
Objective: To assess the impact of dialysis on periodontal and general oral health of chronic kidney disease patients. Methodology: A Cross sectional comparative study was conducted in the department of Nephrology and Urology, Sharif Medical and Dental College, Lahore on 32 patients with chronic kidney disease in the time duration of one year. Chronic kidney disease stage 3, 4 and 5 patients with age above 18 years, belonging to both the genders and same socioeconomic status were a part of the study. Data collection was based on the following parameters: Community Periodontal Index of Treatment Needs (CPITN). Results: There was a statistically non-significant association between stage of chronic kidney disease and periodontal health of patients undergoing dialysis (p=0.185) and general oral health (p=0.120). Practical Implication: This study will help dental practitioners understand the impact of renal dialysis on general oral and periodontal health of patients with chronic kidney d...
Malaysian Journal of Medical Sciences
Introduction: Chronic kidney disease (CKD) is associated with periodontal disease due to its hyperinflammatory state. Limited studies have explored the prevalence of periodontal disease among CKD patients in Malaysia. Objective: To assess the periodontal status of pre-dialysis CKD patients in Hospital Universiti Sains Malaysia. Methods: A total of 46 pre-dialysis CKD patients who attended the nephrology clinic at Hospital Universiti Sains Malaysia were enrolled in this study. Periodontal examination was performed using the periodontal probing depth (PPD), clinical attachment loss (CAL) and plaque index. Results: The majority of the CKD patients were Malay (95.7%) and 80.4% were males. The mean age of the patients was 58.5 years. Using PPD measurement, 37 (74.0%) of the patients had mild periodontitis, 9 (20.0%) had moderate periodontitis and 3 (6.0%) had no periodontitis. Based on CAL measurement, 12 (26%) patients had mild periodontitis, 29 (63.0%) had moderate periodontitis and 5 (11%) had severe periodontitis. The mean (standard deviation [SD]) value of mild and moderate-to-severe periodontitis by PPD measurement were 4.26 (0.26) and 5.24 (0.36), respectively. The mean of mild and moderate-to-severe periodontitis by CAL measurement were 2.66 (0.62) and 4.98 (0.73), respectively. There was no correlation between the periodontal parameters and estimated glomerular filtration rate (PPD: r = −0.160, P = 0.914; CAL: r = −0.135, P = 0.372; plaque index: r = 0.005, P = 0.974). Conclusion: This study revealed a greater prevalence and severity of chronic periodontitis among CKD patients. Thus, the periodontal health of CKD patients' needs to be screened and monitored.
Oral health in patients with chronic kidney disease
Praxis medica
Objective: In the available literature data, there is not much information about problems of patients with end stage kidney disease in relation to oral health. Our objective was to show the importance of oral diseases for patients on hemodialysis. Data sources: In this review article, the sources of data are review articles and scientific articles in the English language published in MEDLINE database. The choice of studies was based on keywords: Chronic kidney disease, Hemodialysis, Oral health, Periodontal diseases. Results: It is assumed that almost 90% patients with chronic kidney disease manifest some symptoms of oral disease. Therefore, it is important to determine the impact of periodontal disease on the progression of kidney failure in these individuals, to evaluate inflammatory parameters in this patient population, to assess the degree of bone loss and periodontal disease index, to determine the presence of bacterial strains, paradontopathy of gingival fluid and antibody ti...
Prevalence of Periodontitis in Chronic kidney disease: A Prospective Study
International Journal of Health and Dentistry Care (IJHDC), 2023
Introduction: Oral health of chronic kidney disease patients is often poor and it becomes more prevalent as uraemia progresses. The aim of this study Is to observe the prevalence of periodontal conditions in chronic kidney disease patients and to determine the relationship of severity of periodontitis with the different stages of chronic kidney disease. Material and Method: It is a prospective study conducted at SRN Hospital, MLN Medical College Prayagraj. We evaluated the periodontal status of 50 chronic kidney disease patients by using CDC- AAP classification. Result: Out of 50 Chronic kidney disease patients, 80% patients presented with periodontitis changes which was considered as cases while 20% patients did not show any sign of periodontitis and was considered as control. . The percentage of chronic kidney disease stage 5 was higher in both the cases (80%) and the control(80%) group as well. In cases, the percentage of male was higher than females. Chronic kidney disease stage 5 is more associated with periodontitis.In cases, the percentage of mild periodontitis, moderate periodontitis, severe periodontitis with respect to chronic kidney disease stage 5 is 57.3%, 60%, 89.29% respectively that was found significant (p value=0.012). Conclusion: Our study clearly states that the prevalence of periodontitis is 80% in chronic kidney disease patients especially among the higher stages of chronic kidney disease, therefore periodontitis is the important preventable risk factors if not treated early may deteriorate the prognosis of chronic kidney disease patients.
The Oral Health Status of Patients with Renal Disease in Central India: A Preliminary Study
Journal of Renal Care, 2013
To compare prevalence of caries and periodontal disease amongst patients on renal dialysis with healthy individuals. Materials and Methods: A case-control study was conducted amongst 30 cases and 30 controls. Patients who were diagnosed with renal disease were included as cases and systemically healthy individuals as controls. Patients' perceptions of oral health were recorded using structured questionnaires. The WHO proforma (1997) was used to record the periodontal condition, caries status and the treatment need of each group. Results: The number of people affected by periodontal disease (bleeding and calculus) was significantly higher amongst people with renal disease compared with controls (p < 0.05) and also mean caries prevalence amongst the cases was significantly higher compared with controls (p < 0.05). Conclusion: This study provides evidence for greater periodontal disease amongst patients with renal disease as compared with healthy individuals.
Periodontal disease as a predictor of chronic kidney disease (CKD) stage in older adults
Journal of International Medical Research
Objective The aim of this study was to evaluate periodontal disease as a predictor of chronic kidney disease (CKD) stage in older adults. Methods A total of 1159 adults aged 65 to 80 years and diagnosed with periodontal disease and CKD (stages 1, 2, and 3) were randomly selected for a cross-sectional study. Periodontal status was assessed using the Community Periodontal Index of Treatment Needs (CPITN) and CKD was staged using the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) guidelines. Results In patients with stage 1 CKD, the odds ratios (ORs) (95% confidence intervals [CIs]) for CPITN-1, CPITN-2, CPITN-3, and CPITN-4 were 1.13 (0.83–1.55), 1.47 (1.13–1.81), 1, and 1, respectively. In patients with stage 2 CKD, the ORs (95% CIs) for CPITN-1, CPITN-2, CPITN-3, and CPITN-4 were 1.49 (1.14–1.93), 1.37 (1.02–1.78), 3.07 (2.81–3.25), and 3.65 (3.49–3.71), respectively. In patients with stage 3 CKD, the ORs (95% CIs) for CPITN-1, CPITN-2, CPITN-3, an...
Oral health status in patients with moderate-severe and terminal renal failure
2007
Aims. To evaluate the oral health status of patients with moderate-severe chronic renal failure (CRF) and with terminal renal failure (TRF). Design. The study group was formed of 50 patients: 22 (44%) with moderate-severe CRF and 28 (56%) with TRF included in a haemodialysis programme. The controls (n=64) presented similar characteristics with regard to sex, age, weight and educational level. A single dentist performed an intraoral examination on all the subjects, gathering information on: number of decayed, missing or filled teeth; supragingival plaque accumulation; calculus deposits; periodontal pockets in the Ramfjord teeth; and loss of insertion. Results. No significant differences were detected in the values of the DMF index between the two groups. The mean number of decayed teeth was lower in the patients than in the controls, showing a tendency to statistical significance (p=0.052). The mean number of missing teeth was higher in the patients than in the controls (p=0.002). Twelve patients and seven controls were completely edentate. The mean number of filled teeth was significantly lower in the patients than the controls (p<0.001). Supragingival plaque accumulation and the loss of insertion were significantly greater in the patients than in the controls (p=0.006 and p<0.001, respectively). No significant differences were found with respect to the calculus deposits or to the presence of periodontal pockets in the two groups. The value of the DMF index, the mean number of teeth with caries and the number of filled teeth were significantly higher in the patients with moderate-severe CRF than in the patients with TRF (p=0.004, p=0.030 and p=0.006, respectively). Conclusions. Patients with CRF have a lower prevalence of caries, more supragingival plaque, more teeth with a loss of insertion and more missing teeth than the healthy controls. The prevalence of caries is affected by the severity of the renal failure and/or by haemodialysis treatment.