Comparative Evaluation of Periodontal Status of Chronic Renal Failure Patients and Systemically Healthy Individuals

Gupta, Radhika; Kumar, Uttam; Mallapragada, Siddharth; Agarwal, Pallavi

doi:10.5005/jp-journals-10024-2261

Cited by 10 publications

(12 citation statements)

References 16 publications

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“…As for CAL, our study showed increased attachment loss with 3.97 mm as compared to a study by Gupta et al (16) which reported 1.77 mm. However, Perozini et al 3reported higher attachment loss of 4.30 mm in the predialysis group in his study.…”

Section: Discussioncontrasting

confidence: 49%

“…Gupta et al's (16) study revealed that the mean of the periodontal parameters (PD and CAL) of haemodialysis patients were higher and severe compared to the pre-dialysis and control group. This finding is supported by Naugle et al's (28) study, which suggested that individuals on dialysis do not receive adequate periodontal care and the disease progresses unchecked.…”

Section: Discussionmentioning

confidence: 98%

“…Periodontitis has been shown to be prevalent and severe in CKD patients in Saudia Arabia (17), Poland (8) and India population (16) and has proved to be particularly advanced in end-stage renal disease patients that have 4.35 (0.99) and 3.97 (0.97), respectively. Overall, the mean plaque index of pre-dialysis patients was 47.9%, which indicated fair oral hygiene.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies showing evidence of the increased prevalence of periodontal disease in patients with CKD, focusing exclusively on endstage renal disease patients on maintenance haemodialysis, have been published (8,16). However, information available in Malaysia regarding the prevalence of periodontal disease in pre-dialysis CKD is limited.…”

Section: Introductionmentioning

confidence: 99%

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Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital

Ibrahim

Kassim

Jamsari

et al. 2020

MJMS

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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.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital

Ibrahim

Kassim

Jamsari

et al. 2020

MJMS

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“…Since periodontal disease and CKD share common risk factors and both predict health‐related psychosocial outcomes, their effects may be cumulative. Furthermore, recent evidence shows significantly higher mean scores of plaque, gingival inflammation and clinical attachment loss among patients with ERSD compared to systemically healthy individuals (Gupta, Kumar, Mallapragada, & Agarwal, ; Summers, Tilakaratne, Fortune, & Ashman, ). However, the impact of periodontitis on the OHRQoL of patients with ESRD had not yet been explored.…”

Section: Introductionmentioning

confidence: 99%

Periodontitis is associated with oral health‐related quality of life in individuals with end‐stage renal disease

Oliveira

Sari

Schöffer

et al. 2020

J Clinic Periodontology

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Aim The aim of the present study was to evaluate whether periodontitis is independently associated with oral health‐related quality of life (OHRQoL) in individuals with end‐stage renal disease (ESRD). Materials and Methods Calibrated examiners assessed 180 adults with ESRD. A full‐mouth periodontal examination was performed at six sites on each tooth. Periodontitis was considered a categorical variable (absent, mild/moderate or severe). OHRQoL was assessed using the simplified version of the Oral Health Impact Profile (OHIP14) questionnaire. Adjusted multivariate Poisson regression analysis was used with a conceptual hierarchical approach to calculate the rate ratio (RR) of OHIP14 scores for periodontitis according to the severity categories. Results In the adjusted model, mild/moderate and severe periodontitis were significantly associated with poorer OHRQoL compared to the absence of periodontitis [RR = 1.49 (95% confidence interval: 1.16–1.91) and RR 1.77 (95% CI: 1.36–2.30), respectively]. The adjusted domain‐specific analysis revealed that mild/moderate periodontitis significantly impacted the psychological disability domain and severe periodontitis significantly impacted the physical pain, psychological discomfort, physical disability and psychological disability domains. Conclusions Periodontitis exerts an influence on OHRQoL in individuals with ESRD, with a more severe condition impacting different domains.

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Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease

et al. 2021

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Objectives This retrospective study evaluates intraoral surgical and conservative treatment need in patients with a chronic kidney end-stage disease, depending on the duration of dialysis treatment and the causative nephrological disease. Material and methods This study is based on data of patients referred to the Department of Oral and Maxillofacial Surgery of the University Hospital Erlangen, Germany, prior to kidney transplantation between January 2015 and March 2020. The necessity for oral surgical or dental therapy was determined by clinical and radiological examinations. Data on renal replacement therapy, cause of underlying renal disease, lifestyle, and general health were collected. Results Data of N = 89 patients demonstrated that surgical treatment need depends on dialysis duration (p = 0.042). Patients, who had been dialyzing for 2 to 3 years showed the highest need for surgical intervention (80.0%; p = 0.024), followed by dialysis patients with a dialysis time of more than 3 years (48.1%). Similarly, dialysis patients in the second or third year of dialysis had the highest need for conservative treatment (73.3%; p > 0.05), followed by 55.6% of dialysis patients in the third year of dialysis. Conclusions Operative and conservative treatment is essential to optimize subsequent kidney transplantation. The greatest necessity could be detected for patients in the second and third years of dialysis. Clinical relevance Oral health addressing surgical and conservative treatment need depends on the duration of dialysis in patients with a chronic kidney end-stage disease.

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Comparative Evaluation of Periodontal Status of Chronic Renal Failure Patients and Systemically Healthy Individuals

Abstract: The dental community's awareness of implications of poor health within chronic renal failure patients should be elevated.

Cited by 10 publications

References 16 publications

Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital

Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital

Periodontitis is associated with oral health‐related quality of life in individuals with end‐stage renal disease

Frequency of the necessity of dentoalveolar surgery or conservative treatment in patients before kidney transplantation depending on the duration of dialysis and causative nephrological disease

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