Relationship of Decayed, Missing, Filled, Teeth and Related Indexes of Glomerular Filtration Rate in Various Stages of Chronic Kidney Disease in Adults Residing in Shahedieh City, Yazd Province

A. Davari, A. Daneshkazemi, Sanaz Abbasi, Farzad Ziaei
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Abstract

Introduction: Oral health problems in patients with chronic renal failure can endanger their systemic health. The aim of this study was to assess the correlation of Decayed, Missing, Filled, Teeth (DMFT) and Glomerular Filtration Rate (GFR). Materials & Methods: In this descriptive-analytical study, using the Shahidieh project conducted on 9000 people from the city of Yazd in 2017 for data collection. The serum creatinine level, and age, gender and weight of patients were extracted from the questionnaire designed for the Yazd Shahedieh Project after receiving permission. The GFR of each individual was calculated using the Cockcroft Gault formula. For assessment of oral health status, the DMF index of permanent teeth of adults was calculated. The Data analyzed using t-test, ANOVA, Pearson’s correlation coefficient, and regression analysis. Results: Weight was not related to the number of carious teeth but was directly related to the number of filled teeth. Weight was also inversely related to the number of missing teeth and DMFT. Serum creatinine was not related to the number of decayed teeth but was directly related to the number of missing teeth and DMFT. Serum creatinine was inversely related to the number of filled teeth. Age was inversely related to the number of decayed and filled teeth, but was directly related to the number of missing teeth and DMFT. GFR is directly related to the number of decayed and filled teeth, but is inversely related to the number of missing teeth and DMFT. GFR and DMFT index had a significant and inverse relationship. Conclusion: According to the present study the lower GFR index and the higher the serum creatinine and the higher the stage of kidney disease, a direct correlation of a high DMFT index was observed.
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亚兹德省沙赫代市成人慢性肾病各阶段龋缺牙补牙与肾小球滤过率相关指标的关系
慢性肾功能衰竭患者的口腔健康问题会危及全身健康。本研究的目的是评估龋缺牙补牙(DMFT)与肾小球滤过率(GFR)的相关性。材料与方法:在这项描述性分析研究中,使用2017年对亚兹德市9000人进行的Shahidieh项目进行数据收集。在获得许可后,从为Yazd Shahedieh项目设计的问卷中提取患者的血清肌酐水平、年龄、性别和体重。使用Cockcroft Gault公式计算每个个体的GFR。计算成人恒牙DMF指数,评价其口腔健康状况。数据分析采用t检验、方差分析、Pearson相关系数和回归分析。结果:体重与龋牙数无关,而与补牙数直接相关。体重也与缺牙数和DMFT呈负相关。血清肌酐与蛀牙数无关,但与缺牙数和DMFT有直接关系。血清肌酐与补牙数呈负相关。年龄与蛀牙和补牙数量呈负相关,而与缺牙和DMFT数量直接相关。GFR与蛀牙和补牙数量直接相关,与缺牙和DMFT数量呈负相关。GFR与DMFT指数呈显著负相关。结论:根据本研究,GFR指数越低,血清肌酐越高,肾脏疾病分期越高,与DMFT指数高有直接关系。
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