Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease
Aim: To evaluate the oral conditions of patients with chronic kidney disease undergoing dialysis and to determine the influence of dialysis duration and bone metabolism on the prevalence and severity of the alterations found. Methods: The simplified oral hygiene index (OHI-S), prevalence of dental c...
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| Format: | Article |
| Language: | English |
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Universidade Estadual de Campinas
2015-10-01
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| Series: | Brazilian Journal of Oral Sciences |
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| Online Access: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641088 |
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| author | Stênio Medeiros Queiroz Adriana Gomes Amorim Ana Luiza Dias Leite de Andrade Manuel Antonio Gordón-Núñez Roseana de Almeida Freitas Hébel Cavalcanti Galvão |
| author_facet | Stênio Medeiros Queiroz Adriana Gomes Amorim Ana Luiza Dias Leite de Andrade Manuel Antonio Gordón-Núñez Roseana de Almeida Freitas Hébel Cavalcanti Galvão |
| author_sort | Stênio Medeiros Queiroz |
| collection | DOAJ |
| description | Aim: To evaluate the oral conditions of patients with chronic kidney disease undergoing dialysis and to determine the influence of dialysis duration and bone metabolism on the prevalence and severity of the alterations found. Methods: The simplified oral hygiene index (OHI-S), prevalence of dental caries (decayed, missing filled teeth index, DMFT), and the periodontal screening and recording (PSR) index were evaluated in 154 patients. Parathyroid hormone (PTH), calcium, phosphorus and urea measurements, as well as panoramic radiographs, were obtained from all patients. To evaluate the effect of duration of dialysis treatment on oral health, the patients were divided into two groups: (1) <5 years and (2) > 5 years. Regarding blood levels of PTH, patients were divided into three groups: (1) 0-149 pg/mL, (2) 150-584 pg/mL, and (3) >585 pg/mL. The OHI-S identified the accumulation of biofilm and calculus around the teeth. Results: Gingival inflammation was found in 100% of dentate patients, with 2 being the predominant PSR score (72.3%). The DMFT index was high (17.52). Dental calculus was the most common radiographic finding (70.8%). No significant correlation was observed between dialysis duration, biochemical alterations, and oral health. Conclusions: Most patients undergoing dialysis presented precarious oral hygiene, periodontal inflammation, and bone alterations. However, these manifestations were not influenced by the duration of dialysis or bone metabolism. |
| first_indexed | 2024-12-17T01:33:24Z |
| format | Article |
| id | doaj.art-5925375568ac4e8ea963561e4aa40628 |
| institution | Directory Open Access Journal |
| issn | 1677-3225 |
| language | English |
| last_indexed | 2024-12-17T01:33:24Z |
| publishDate | 2015-10-01 |
| publisher | Universidade Estadual de Campinas |
| record_format | Article |
| series | Brazilian Journal of Oral Sciences |
| spelling | doaj.art-5925375568ac4e8ea963561e4aa406282022-12-21T22:08:30ZengUniversidade Estadual de CampinasBrazilian Journal of Oral Sciences1677-32252015-10-0112210.20396/bjos.v12i2.8641088Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney diseaseStênio Medeiros Queiroz0Adriana Gomes Amorim1Ana Luiza Dias Leite de Andrade2Manuel Antonio Gordón-Núñez3Roseana de Almeida Freitas4Hébel Cavalcanti Galvão5Grande do Norte Federal UniversityRio Grande do Norte Federal UniversityRio Grande do Norte Federal UniversityRio Grande do Norte Federal UniversityRio Grande do Norte Federal UniversityRio Grande do Norte Federal UniversityAim: To evaluate the oral conditions of patients with chronic kidney disease undergoing dialysis and to determine the influence of dialysis duration and bone metabolism on the prevalence and severity of the alterations found. Methods: The simplified oral hygiene index (OHI-S), prevalence of dental caries (decayed, missing filled teeth index, DMFT), and the periodontal screening and recording (PSR) index were evaluated in 154 patients. Parathyroid hormone (PTH), calcium, phosphorus and urea measurements, as well as panoramic radiographs, were obtained from all patients. To evaluate the effect of duration of dialysis treatment on oral health, the patients were divided into two groups: (1) <5 years and (2) > 5 years. Regarding blood levels of PTH, patients were divided into three groups: (1) 0-149 pg/mL, (2) 150-584 pg/mL, and (3) >585 pg/mL. The OHI-S identified the accumulation of biofilm and calculus around the teeth. Results: Gingival inflammation was found in 100% of dentate patients, with 2 being the predominant PSR score (72.3%). The DMFT index was high (17.52). Dental calculus was the most common radiographic finding (70.8%). No significant correlation was observed between dialysis duration, biochemical alterations, and oral health. Conclusions: Most patients undergoing dialysis presented precarious oral hygiene, periodontal inflammation, and bone alterations. However, these manifestations were not influenced by the duration of dialysis or bone metabolism.https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641088Chronic kidney diseaseParathyroid hormoneOral healthHemodialysis |
| spellingShingle | Stênio Medeiros Queiroz Adriana Gomes Amorim Ana Luiza Dias Leite de Andrade Manuel Antonio Gordón-Núñez Roseana de Almeida Freitas Hébel Cavalcanti Galvão Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease Brazilian Journal of Oral Sciences Chronic kidney disease Parathyroid hormone Oral health Hemodialysis |
| title | Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease |
| title_full | Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease |
| title_fullStr | Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease |
| title_full_unstemmed | Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease |
| title_short | Influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre-transplant patients with chronic kidney disease |
| title_sort | influence of dialysis duration and parathyroid hormone on the clinical and radiographic oral conditions of pre transplant patients with chronic kidney disease |
| topic | Chronic kidney disease Parathyroid hormone Oral health Hemodialysis |
| url | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641088 |
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