Evaluation of Periodontal Status in Patients With Chronic Renal Disease

L. Golpasand Hagh, Azarnoosh Ariankia, H. Shahbazian
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Abstract

Background and Objectives Most renal patients have various oral manifestations such as halitosis, xerostomia and pale mucosa. The purpose of this study was to evaluate the relationship between periodontal status and chronic renal disease. Subjects and Methods In this case-control study, the case group was divided into three subgroups, which included renal patients before dialysis, patients undergoing hemodialysis, and patients after renal transplantation, each of which included 23 patients. The control group also included 38 healthy individuals in terms of renal function. After obtaining the consent form and completing the questionnaire, the amount of plaque index, gingival index, papillary bleeding index, probing depth, loss of clinical attachment, gingival recession and gingival enlargement were measured T-student,chi-square. and Anova was used to analyze the data. Results The plaque index, gingival index, papillary bleeding index, probing depth, loss of clinical attachment in groups with chronic renal disease were higher than the control groups (P< 0.001) but there was no significant difference in gingival recession and gingival enlargement between control group and case groups (P> 0.05 ) . These parameters were not significantly different between the groups with chronic renal disease (P> 0.05). Conclusion Periodontal disease is more common in patients with chronic renal disease, therefore, special periodontal treatment considerations and regular dental examinations should be added to the treatment plan of these patients.
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慢性肾脏疾病患者牙周状况的评估
背景与目的大多数肾脏患者有口臭、口干、黏膜苍白等多种口腔表现。本研究的目的是评估牙周状况与慢性肾脏疾病之间的关系。本病例对照研究将病例组分为透析前肾患者、血液透析患者和肾移植后肾患者3个亚组,每组23例。对照组还包括38名肾功能正常的人。获得同意表并完成问卷后,测量牙菌斑指数、牙龈指数、乳头出血指数、探诊深度、临床附着丧失、牙龈退缩和牙龈扩大的数量。并采用方差分析对数据进行分析。结果慢性肾脏疾病组牙菌斑指数、牙龈指数、乳头状出血指数、探诊深度、临床附着丧失均高于对照组(P< 0.001),而对照组与病例组牙龈萎缩、牙龈扩大差异无统计学意义(P> 0.05)。这些指标在慢性肾脏疾病组间无显著差异(P> 0.05)。结论牙周病多见于慢性肾脏疾病患者,应在治疗计划中加入特殊的牙周治疗注意事项,并定期进行口腔检查。
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