Severe periodontitis associated with chronic kidney disease

Jain, Anurag; Kabi, Debipada

doi:10.4103/0972-124x.107489

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Significant prevalence of periodontitis is reported to be associated with systemic conditions such as diabetes mellitus,[ 17 38 39 ] arthritis, CVD, respiratory diseases, kidney disease is in concordance with other studies[ 40 41 ] and the current study has also confirmed this association.…”

Section: Discussionsupporting

confidence: 93%

Periodontal disease status and associated risk factors in patients attending a Dental Teaching Hospital in Rawalpindi, Pakistan

Bokhari¹,

Suhail²,

Malik³

et al. 2015

J Indian Soc Periodontol

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Background:Investigators have identified an association of socio-demographic and medical factors with periodontal risk. This study observed status and association of periodontal disease and associated risk factors/indictors.Materials and Methods:All patients attending a dental teaching hospital were interviewed for socio-demographic and medical information through a structured questionnaire. Participants were examined for periodontal status using the community periodontal index (CPI), by a single examiner during September to November 2012. An association of age, gender, smoking habit, systemic conditions, and oral hygiene measures with periodontal status ([periodontitis CPI score ≥3]/nonperiodontitis [CPI score ≤2]) was analyzed by applying Chi-square test and forward selection stepwise regression analysis.Results:One thousand nine hundred and eighteen patients were examined during the study period. The findings revealed that 63.5% of the subjects had CPI score ≤2 (nonperiodontitis), while 34.5% were found with CPI score ≥3 (periodontitis). Age, gender, occupation, smoking, diabetes, arthritis, cardiovascular disease, kidney disease, stress, medications, and oral hygiene habits of using tooth powder or tooth brushing were significantly (P ≤ 0.037) associated with periodontal status. Regression analysis showed a significant association of age, occupation, and smoking with periodontitis.Conclusion:This study observed prevalence of periodontitis in one-fourth of study sample. The study confirmed various socio-demographic risk factors/indictors associated with increased risk of periodontitis.

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Section: Discussionsupporting

confidence: 93%

Periodontal disease status and associated risk factors in patients attending a Dental Teaching Hospital in Rawalpindi, Pakistan

Bokhari¹,

Suhail²,

Malik³

et al. 2015

J Indian Soc Periodontol

View full text Add to dashboard Cite

show abstract

“…An earlier case report regarding severity of PD and inflammatory gingival enlargement in CKD patient showed a lack of response to nonsurgical periodontal treatment. [ 20 ] It was decided to manage the case surgically after obtaining patient consent and in coordination with patient's nephrologist. Healing was uneventful and the periodontal status was significantly improved without any sign of recurrence within 6 months of surgery.…”

Section: Discussionmentioning

confidence: 99%

Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure

Uppal

Trivedi

Gupta

et al. 2020

J Indian Soc Periodontol

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Gingival enlargement is a common periodontal pathology seen in medically compromised patients. Although it is not the disease itself, certain medications used to treat these chronic diseases are known to precipitate the gingival enlargement. Periodontitis (PD) and gingival enlargement have been reported increasingly in patients with chronic renal failure. Severe enlargement is detrimental to esthetics and function while having a negative impact on the overall oral health-related quality of life. Treatment of such cases requires comprehensive periodontal management by a specialist, keeping in mind the medically compromised state of the patient. This report presents a case of severe PD with generalized gingival enlargement in a 45-year-old male who was a known case of Stage 4 chronic kidney disease, obstructive uropathy, and hypertension. Gingival enlargement was managed by gingivectomy and gingivoplasty. Six months' follow-up showed no sign of recurrence.

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“…CKD patients have higher levels of traditional systemic in lammatory markers, like IL-6, and C-reactive protein. Many studies have reported increased prevalence and severity of periodontal disease in patients with CKD (Jain and Kabi, 2013). Free radicals are mostly involved in the destruction of periodontium during various stages of in lammatory periodontal diseases.…”

Section: Resultsmentioning

confidence: 99%

Salivary Nitro-Oxidative Stress and Matrix Metalloproteinase-9 in Chronic Kidney Disease with Periodontitis

et al. 2014

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Periodontal diseases are a group of chronic in lammatory diseases that affect the supporting tissues of the dentition. Periodontitis is one of the most frequent periodontal diseases. It is induced by the dental plaque bacteria in association with an abnormal host immune response to these microorganisms and their products in disease susceptible individuals (Machida et al., 2014; Craig et al., 2007). It is characterized by gingival bleeding, periodontal pocket formation, destruction of connective tissue attachment, and alveolar bone resorption. In periodontal lesions leukocytes produce reactive oxygen species (ROS), as an initial host defense against the bacterial pathogens (Tomofuji et al., 2011). ROS includes superoxide,

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Severe periodontitis associated with chronic kidney disease

Cited by 4 publications

References 9 publications

Periodontal disease status and associated risk factors in patients attending a Dental Teaching Hospital in Rawalpindi, Pakistan

Periodontal disease status and associated risk factors in patients attending a Dental Teaching Hospital in Rawalpindi, Pakistan

Periodontal management of severe periodontitis and generalized gingival enlargement in a patient with chronic renal failure

Salivary Nitro-Oxidative Stress and Matrix Metalloproteinase-9 in Chronic Kidney Disease with Periodontitis

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