L’état buccodentaire chez les hémodialysés chroniques : 42 cas

Bouattar, T.; Chbicheb, Saliha; Benamar, L.; Wady, Wafaa El; Bayahia, R.

doi:10.1016/j.stomax.2009.07.012

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…The mean number of teeth in the dentate group was 12, thus, on average, the patients had only 43% of their own teeth. Our results are similar to those from other authors 9 , 20 , 21 . The oral hygiene was not proper, and bleeding indicated a moderate level of inflammation.…”

Section: Discussionsupporting

confidence: 93%

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The association between periodontal conditions, inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis patients

2018

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ObjectivesTo analyze the association between periodontal conditions and inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis (HD) patients.Material and MethodsWe analyzed 128 HD patients divided into two groups: dentate (n = 103) and edentulous (n=25). The following items were assessed: baseline characteristics, age at the start and duration of HD, biochemical data: C-reactive protein (CRP), serum albumin, calcium, phosphorus, alkaline phosphatase, parathormone. A single dentist performed a complete dental/periodontal examination, including parameters of oral hygiene and gingival bleeding.ResultsOne person had healthy periodontium, 62.14% of the patients had gingivitis, and 36.9% had moderate or severe periodontitis. The age at HD onset had a positive impact on periodontal status and negatively correlated with the number of teeth. A positive correlation between age and CRP level and negative correlations between age and serum albumin and phosphorus were found. Pocket depth (PD) was negatively correlated with serum albumin. The number of teeth was negatively correlated with serum CRP.ConclusionsHigh prevalence and severity of periodontal disease are observed in hemodialysis patients. There is a high probability that periodontal disease may be present at the early stages of chronic kidney disease (CKD) before the hemodialysis onset.

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Section: Discussionsupporting

confidence: 93%

“…From 128 hemodialysis patients, 20% of them were toothless. This number was greater than in the study of Bouattar, et al 20 (2011), in which only 11.9% patients were edentulous from a group of 42.…”

Section: Discussioncontrasting

confidence: 57%

The association between periodontal conditions, inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis patients

2018

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“…Gums and mucous can become purple due to deficiency in coagulation factor VIII, spontaneous gingival bleeding and intraoral edema 3,29 .…”

Section: Hernández Cmentioning

confidence: 99%

“…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 .…”

Section: Hernández Cmentioning

confidence: 99%

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

Hernández¹

2016

J Oral Res

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Chronic renal failure (CRF) is one of the best known renal diseases. It is characterized by a deterioration in the overall renal function and is associated with other conditions such as hypertension, diabetes mellitus, uropathy, chronic glomerulonephritis and autoimmune diseases. Patients with CRF show alterations of the masticatory system that are specific to the disease and other type of disorders as a result of treatment. Oral health in dialysis and transplant patients tends to be poor, which makes them more likely to develop pathological conditions in the oral cavity, potentially increasing morbidity, mortality and affecting the quality of life of patients. Among the lesions we can find dysgeusia, periodontitis, candidiasis, gingival bleeding, petechiae, and joint alterations. Gingivitis and xerostomia associated to long-term use medications can cause oral lesions. Children with CRF show two oral conditions of interest: high incidence of dental anomalies and low caries activity. In patients receiving a kidney transplant, previous dental treatment is critical because the immune status of the patient will be affected not only by the toxemia, but by the immunosuppressive drugs used to prevent transplant rejection. Therefore, the dentist plays an important role in training parents and/or guardians, doctors and paramedics on the treatment of oral lesions in these patients.

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