Periodontal status in patients undergoing hemodialysis

Parkar, Sujal; Ajithkrishnan, CG

doi:10.4103/0971-4065.101242

Cited by 34 publications

(37 citation statements)

References 17 publications

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“…Nine studies adjusted the dataset for potential confounders (eg, age, gender, smoking and DM) using multivariate analysis, and 6 of them showed significant results (Appendix A). Overall, 9 studies presented with a P‐ value, and 7 of them claimed that the prevalence of periodontitis in patients with CKD was significantly higher than without CKD ( P < .05) . The remaining 2 did not have such findings ( P > .05) …”

Section: Resultsmentioning

confidence: 99%

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The directional and non‐directional associations of periodontitis with chronic kidney disease: A systematic review and meta‐analysis of observational studies

Zhao

Khawaja

Jin

et al. 2018

J of Periodontal Research

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This systematic review aimed to assess the current evidence on the directional and non-directional associations of periodontitis with chronic kidney disease (CKD). Electronic search for observational studies on the association of periodontitis with CKD was performed in MEDLINE, EMBASE, PubMed, Open GREY and Cochrane library up to June 5, 2017. Two reviewers conducted study selection, data collection and assessment of methodological quality using the original and modified Newcastle-Ottawa Scale. Cohort, case-control and cross-sectional studies were included, which clearly defined periodontitis and CKD or reported acceptable clinical parameters of these 2 diseases in adults. Meta-analysis was employed to estimate the pooled odds ratio on the non-directional association and the incidence rate ratio (IRR) for the directional association. Among 2530 potential eligible articles, 47 were finally included. Most of them investigated a non-directional association of periodontitis with CKD, including 7 case-control studies and 38 cross-sectional studies; 24 studies had statistical analysis on the non-directional association and 75% of them reported significant results, which were supported further by the meta-analysis (random: odds ratio = 2.12, P < .001; χ = 25.74, I = 88.3%). None of the studies focused on the directional association of CKD (as the exposure) with periodontitis (as the outcome), whereas 2 retrospective cohort studies explored a directional association of periodontitis (as the exposure) with CKD (as the outcome) (random: IRR=2.10, P > .05; fixed: IRR=1.76, P < .05; χ = 4.65, I = 78.3%). Overall, the high heterogeneity of studies limits the significance of these results. There is substantial evidence on the non-directional association of periodontitis with CKD, while there are limited studies on the directional association. Well-designed prospective studies with longer follow-ups in representative communities are needed to clarify the directional association and enhance the quality of the evidence on this topic.

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Section: Resultsmentioning

confidence: 99%

“…Table describes the characteristics of 7 case‐control studies and 38 cross‐sectional studies on the non‐directional association, and lists them in reverse publication order . Among them, 24 had a statistical analysis, but 7 did not consider any confounding factors (Appendix A) .…”

Section: Resultsmentioning

confidence: 99%

The directional and non‐directional associations of periodontitis with chronic kidney disease: A systematic review and meta‐analysis of observational studies

Zhao

Khawaja

Jin

et al. 2018

J of Periodontal Research

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“…In a study by Maryam Baharvand, it was found that there is a meaningful relationship between age with oral dryness in the elderly (24)This study is likely to contradict the study because of differences in the studied population and research tools as well as the history of dialysis. (25,26,27,28). It is likely that factors such as the sample size and the difference in the duration of dialysis and other factors that affect the oral status of patients, such as the fluid used between the two dialyses and the number of dialysis per month are due to this difference.…”

Section: Discussionmentioning

confidence: 99%

Examining the dry mouth in hemodialysis patients

2017

Int. J. Adv. Res. Biol. Sci

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Introduction: The most commonly used method for renal replacement in most patients is hemodialysis. Dry mouth is one of the most commonly observed symptoms in patients undergoing hemodialysis. Method: The present single-group descriptive-analytic study was conducted in order to examine the dry mouth(xerostomia) in hemodialysis patients. The sample size was determined to be 60 subjects using Cochran's formula, with α = 0.05 andβ= 0.20. Result: The mean age of patients was 52.68 years, The mean of oral dryness in patients was 44.02.75% of patients suffered from dry mouth. There was no significant relationship between the number of dialysis per week and the history of dialysis in patients and the age of research units with dry mouth (p> 0.05) Conclusion: it is recommended to conduct larger studies to investigate he methods for reducing thirst and dry mouth in hemodialysis patients in order to improve the quality of life of these patients by controlling and preventing these complications.

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“…CRF patients have medical, psychological and socioeconomic characteristics that may predispose them to dental problems. Oral health in dialysis and transplant patients tends to be poor, and they are more likely to develop diseases of the oral cavity, potentially increasing morbidity, mortality and affecting the quality of life of patients 1,14 . When pediatric patients suffer from renal disease they will have oral manifestations of the condition that will depend on the type of kidney disease, medication administered, specific conditions of the host and the age of the patient at the onset of the disease 28 .…”

Section: Oral Disordersmentioning

confidence: 99%

“…Ammonia causes an increased oral pH, which "protects" teeth 14,28 . Some studies have observed children with CRF and a high percentage of caries.…”

Section: Hernández Cmentioning

confidence: 99%

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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Periodontal status in patients undergoing hemodialysis

Cited by 34 publications

References 17 publications

The directional and non‐directional associations of periodontitis with chronic kidney disease: A systematic review and meta‐analysis of observational studies

The directional and non‐directional associations of periodontitis with chronic kidney disease: A systematic review and meta‐analysis of observational studies

Examining the dry mouth in hemodialysis patients

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

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