Oral Health Status in Haemodialysis Patients

Swapna, Lingam Amara

doi:10.7860/jcdr/2013/5813.3402

Cited by 22 publications

(58 citation statements)

References 14 publications

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“…The international literature on the influence of DM on DMF‐T in patients treated with HD is contradictory. While three studies showed a significantly higher DMF‐T in patients with DM, another study showed no difference.…”

Section: Discussionmentioning

confidence: 92%

“…Taking into account the findings of DMS IV (moderate periodontitis: 45.3% for age range 35–44 years and 54.1% for age range 65–74 years; severe periodontitis: 46.9% for age range 35–44 years and 24.0% for age range 65–74 years), the current study found that patients undergoing HD had a higher prevalence of severe periodontitis regardless of their DM status, while moderate periodontitis was more prevalent in DMS IV. In the international literature, the prevalence of severe periodontitis ranges from 0% to 24%, with periodontitis being more severe in patients with DM. For moderate periodontitis, the prevalence ranges from 10% to 62%.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, differences in the oral microbiology were detected. Changes in the salivary flow and composition were particularly prominent, often resulting in xerostomia in addition to changes in the oral mucosa. However, the fact that many patients treated with HD have DM as a major cause of HD or comorbidity was often not considered.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, poor periodontal health conditions in patients with DM and CRF, who are treated with HD, could be caused by both renal disease and DM. Only a few studies on oral health in patients with DM undergoing HD are available, and these focus mainly on clinical parameters. However, apart from these parameters, additional factors which have an influence on oral health might be of relevance.…”

Section: Introductionmentioning

confidence: 99%

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Dental and periodontal health, and microbiological and salivary conditions in patients with or without diabetes undergoing haemodialysis

Schmalz

Schiffers

Schwabe

et al. 2017

International Dental Journal

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dental and periodontal health, and microbiological and salivary conditions in patients with or without diabetes undergoing haemodialysis

Schmalz

Schiffers

Schwabe

et al. 2017

International Dental Journal

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“…The development of most inflammatory lesions, such as stomatitis or ulcerations, is attributed to the irritating influence of urea found in saliva. These patients are also more prone to the development of lesions such as petechiae, which is associated with the use of anticoagulants, as well as the effect of uraemia on platelet aggregation [30]. The lesions of hairy leukoplakia-type or lesions that manifest themselves in a way similar to Kaposi's sarcoma, can most probably result from the negative influence of urea on the functioning of the immune system, and in the patients who received the transplant -with the immunosuppression therapy used.…”

Section: Oral Mucosal Lesionsmentioning

confidence: 99%

Oral Health in Chronic Kidney Disease Patients: A Literature Review

Rabiega¹,

Eliasz²,

Pawlaczyk³

2016

Dent. Med. Probl.

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Chronic kidney disease (CKD) is a broad term used to describe progressive structural and functional kidney disorders that may be accompanied by a decrease in the glomerular filtration rate (GFR), and that have lasted for at least 3 months [1]. The diagnosis of CKD is also made if GFR values are below 60 mL/min/1.73 m 2 for a minimum of 3 months, independently of the presence of kidney damage markers [2,3]. There are several symptoms that can indicate CKD in patients, e.g. abnormalities visible in diagnostic imaging procedures, in blood and urine tests (e.g. proteinuria, abnormal urine sediment) or blood morphology. GFR is, however, the most important factor when it comes to the physiopathology of chronic kidney disease. Nowadays, CKD is classified into five stages, according to the value of this index: stage 1 (GFR > 90 mL/ /min/1.73 m 2 ), stage 2 (60-89 mL/min/1.73 m 2 ), stage 3 (30-59 mL/min/1.73 m 2 ), stage 4 (15-29 mL/min/1.73 m 2 ) and stage 5 (GFR < 15 mL/ /min/1.73 m 2 ). Stage 3 can be further divided into 3A (45-59 mL/min/1.73 m 2 ) and 3B (30-44 mL/ /min/1.73 m 2 ). Stage 5, the most advanced and dangerous one, is also described as "end-stage renal failure" (ESRF), and constitutes an indica-REVIEWS

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Oral health in patients with end‐stage renal disease: A scoping review

Laheij

Rooijers

Bidar

et al. 2021

Clinical & Exp Dental Res

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Objectives: In patients with end stage, renal disease a high rate of morbidity and mortality is present. Studies suggest that end stage renal disease may affect oral health. Therefore, the aim of this study was to perform a scoping review on periodontal disease, dental caries, xerostomia, and hyposalivation in end stage renal disease patients. Materials and methods:A literature search (in PubMed and Embase.com) was performed up to September 29, 2020, in collaboration with a medical information specialist. Included outcome variables were the community periodontal index, probing pocket depth, gingival index, bleeding on probing, decayed-missing-filled-teeth, carious-absent-obturated index, Xerostomia Inventory and the (un)stimulated whole salivary flow rate.Results: Forty three out of 1293 studies were included in the final review comprising 7757 end stage renal disease patients. The average age was 58.3 ± 29.4 years.28.2%-78.8% of patients reported xerostomia and the (un)stimulated salivary flow rates were significantly lower. Higher community periodontal index scores were measured in end stage renal disease patients. More decayed-missing-filled-teeth were recorded, but no differences were found between groups.Conclusions: Xerostomia and hyposalivation were highly prevalent in end stage renal disease patients. Patients have more deepened pockets, but an equal number of carious teeth compared to healthy controls.

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Oral Health Status in Haemodialysis Patients

Cited by 22 publications

References 14 publications

Dental and periodontal health, and microbiological and salivary conditions in patients with or without diabetes undergoing haemodialysis

Dental and periodontal health, and microbiological and salivary conditions in patients with or without diabetes undergoing haemodialysis

Oral Health in Chronic Kidney Disease Patients: A Literature Review

Oral health in patients with end‐stage renal disease: A scoping review

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