einstein (São Paulo). 01/Apr/2017;15(2):173-7.

Evaluation of periodontal condition and risk in patients with chronic kidney disease on hemodialysis

Yeon Jung Kim, Luciana Martins de Moura, Christiane Peres Caldas, Caroline Perozini, Gilson Fernandes Ruivo, Debora Pallos

DOI: 10.1590/S1679-45082017AO3867

ABSTRACT

Objective

To establish a profile of periodontal conditions in chronic kidney disease patients on hemodialysis and their periodontal risk.

Methods

We included 115 patients on hemodialysis. Clinical periodontal parameters assessed were: plaque index, gingival index, probing depth and clinical attachment level. Patients were classified according to presence/absence and severity of periodontal disease and periodontal risk.

Results

In 107 dentate patients (93%) the plaque index was 1.53±0.78, the gingival index was 0.95±0.85, the probing depth was 2.2±0.6mm and the clinical attachment level was 3.18±1.75mm. We observed that 1 patient (0.94%) did not have periodontal disease, 55 patients (51.40%) had slight, 28 (26.17%) moderate and 23 (21.49%) severe periodontal disease. Among 107 patients, 37 (34.58%) had low risk, 35 (32.71%) moderate risk and 35 (32.71%) high risk. Patients with severe periodontal disease showed 104.5 more chance of high risk compared with low risk individuals (odds ratio: 104.5; 95%CI: 10.7-1017.2; p<0.0001).

Conclusion

Most of patients with chronic renal disease presented periodontal disease, indicating the presence of chronic inflammatory and infection process that may influence in systemic conditions. A prevention and interventionist approach in this population is needed, especially to emphasize the importance of oral health. The periodontal risk assessment is a useful tool to create individualized periodontal therapies and to improve general health condition.

Evaluation of periodontal condition and risk in patients with chronic kidney disease on hemodialysis

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