The attitude of chronic hemodialysis patients toward dental treatment

Renal hemodialysis patients: oral, salivary, dental and periodontal findings in 105 adult cases

“…We found both the plaque and calculus indices to be significantly higher among patients with CRF on HD than in controls (P Ͻ 0.001). The greater plaque index may reflect a lack of oral health care in individuals with chronic renal failure, where attention tends to centre more on the severe underlying pathology (Galili et al, 1983;Cali et al, 1986;Levy, 1988). The increased calculus deposits in the patients with renal pathology could likewise be attributed to poor oral hygiene; similar observations have been reported elsewhere (Epstein et al, 1980;Eigner et al, 1986).…”

Evaluation of periodontal parameters in patients undergoing peritoneal dialysis or hemodialysis

“…In the present study, plaque accumulation on the tooth surfaces of the PD and HD patients did not reach a pathological level; however, it was still higher than those of the C group. Several studies (Galili et al, 1983;Tollefsen and Johansen, 1985;Wolff et al, 1985;Kitsou et al, 2000;Al Nowaiser et al, 2003;Al Wahadni and Al Omari, 2003;Davidovich et al, 2005) also report higher plaque levels in CRF patients receiving HD therapy. Furthermore, although not statistically significant, plaque accumulation was also higher in the HD group than the PD group in our study.…”

“…Al Wahadni and Al Omari (2003) reported that individuals on HD therapy may ignore oral hygiene and other potential problems due to spending much time in the dialysis center. Likewise Galili et al (1983) stated that patients on HD therapy would be depressed due to their more severe systemic condition and thus would show insufficient compliance during dental treatments and neglect oral health care. Furthermore, PD patients are usually capable of continuing dialysis therapy at home.…”

Prevalence of Periodontal Disease in Patients Undergoing peritoneal dialysis: A Cross Sectional Study

“…This increase in the plaque and calculus deposition in the Dialysis patients could be attributed to poor oral hygiene maintenance (Epstein et al 1980). This may be related to their negligence as well as the compliance during dental treatment (Galili et al 1983). In the periodontally compromised patients, inflammatory cytokines are secreted in response to lipopolysaccharides of periodontitis pathogens causing renal disorders or making the disease more severe, so that, there are some suggested periodontal assessments to determine the risk of renal diseases (Fisher and Taylor 2009).…”