Decrease in oral health may be associated with length of time since beginning dialysis

Abstract

The aim of this study was to evaluate how oral health is affected by the length of time a patient has been receiving hemodialysis (HD) treatment. Ninety-four subjects participated in this study. Demographic, periodontal parameters, and decayed missing and filled teeth (DMFT) index were recorded by a trained and calibrated examiner. The subjects were divided into two groups: Group L (subjects who had been on HD for less than 36 months), and Group M (those who had been on HD for more than 37 months). In Group M, the mean probing depth was deeper (p= 0.01) and clinical attachment loss was significantly higher (p= 0.02) than subjects in Group L. The DMFT index score was also significantly higher in Group M (p= 0.03). A moderate correlation between length of time on HD and DMFT index, probing depth, and clinical attachment loss was observed. The group of subjects who had been on HD for more than 37 months had more periodontal disease and higher DMFT index scores, suggesting that the length of time on HD could negatively impact oral health.

Oral disorders in patients with chronic renal failure. Narrative review.

“…Clinical manifestations of CRF involve changes in the cardiovascular, hematopoietic, muscular, endocrine, genitourinary, pulmonary, dermatological, and gastrointestinal systems, as well as changes in blood chemistry, bone metabolism and oral health 13 .…”

“…On the other hand, some studies report the opposite, as multiple lines of epidemiologic evidence indicate that the prevalence of periodontal disease is higher in patients with CRF. It is also possible to observe an increase in the prevalence and severity of gingivitis and destructive periodontal disease in CRF patients on dialysis 10,13,29 .…”

“…Subperiosteal bone resorption or altered bone density characterized by large radiolucent areas and lobular form both in upper and lower jaw can be observed radiographically 13,15 .…”

“…The oral cavity usually reflects how well the kidney disease is controlled; therefore, the most severe oral problems can be found in poorly controlled patients [8][9][10][11][12][13] .…”

Prevalência da doença periodontal em pacientes com doença renal crônica em hemodiálise

“…A uremia está associada à disfunção na resposta inata e adaptativa do hospedeiro, incluindo diminuição da atividade das células T e B, além de defeitos na função de neutrófilos e monócitos (Cohen et al, 1997;Eleftheriadis et al, 2007;Kato et al, 2008;Stinghen et al, 2010). Devido a isso, alguns estudos sugerem que pacientes que realizam HD há mais tempo têm mais DP (Duran;Erdemir, 2004;Davidovich et al, 2005;Chen et al, 2006;Bayraktar et al, 2007;Sekiguchi et al, 2012). Entretanto, há divergências quanto a este assunto, pois diversas pesquisas não encontraram tal relação (Naugle et al, 1998;Al-Wahadni;Al-Omari, 2003;Marakoglu et al, 2003;Bots et al, 2006).…”