COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH
Both periodontal disease and chronic kidney disease (CKD) are inflammatory disorders that considerably affect the patients’ overall health and life quality. Periodontal disease occurs somehow more often in CKD people, but it remains indeterminate whether periodontal disease is an independent risk fa...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2018-11-01
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| Series: | Romanian Journal of Oral Rehabilitation |
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| Online Access: | http://www.rjor.ro/wp-content/uploads/2018/09/COMPARATIVE-ANALYSIS-OF-PERIODONTAL-STATUS-IN-HEMODYALYSIS-PATIENTS-%E2%80%93-A-CLINICAL-APPROACH.pdfRJOR.pdf |
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| author | Alina Maria Andronovici Irina Draga Căruntu Loredana Hurjui Cristiana Vlad Liliana Foia |
| author_facet | Alina Maria Andronovici Irina Draga Căruntu Loredana Hurjui Cristiana Vlad Liliana Foia |
| author_sort | Alina Maria Andronovici |
| collection | DOAJ |
| description | Both periodontal disease and chronic kidney disease (CKD) are inflammatory disorders that considerably affect the patients’ overall health and life quality. Periodontal disease occurs somehow more often in CKD people, but it remains indeterminate whether periodontal disease is an independent risk factor in this population or what the true nature of their relationship is. Objectives. Our study focused on investigating the relationship between CKD and periodontitis, and the influence of the latter’s presence and severity on the former, through evaluation of the periodontal status in predialysis and dialysis CKD and healthy subjects with periodontitis. Materials and method. The patients included in our study were divided in two groups, study (n=59) with end-stage CKD and periodontitis, and control (n=20), with periodontitis but without renal impairment. All the subjects underwent dental and periodontal evaluation, using parameters common in clinical examination (Periodontal Disease Index –PDI, dental mobility, bleeding on probing – BOP, inflammatory hyperplasia, gingival recession, probing depth – PD and clinical attachment loss – CAL). Both groups also answered questions about their meal plan and oral hygiene habits and their access to dental care. Results. There were visible differences between the groups when considering social and economic status and access to dental and periodontal services, which is relevant for the distribution of periodontal disease severity between groups (56% from the study group had severe periodontitis, with only 10% in the control group). The study group also had more missing teeth, deeper periodontal pockets and more signs of inflammation. It is still unclear if this is due only to low social and economic status or is it a consequence of CKD and hemodialysis. Conclusions. There is a link between the two entities, but it is still unclear if this is due just to the pathophysiology of periodontitis and CKD, or are the external and local factors involved. Further investigation is needed to clarify this issue and to be able to produce viable prevention and treatment programs for people with end-stage CKD. |
| first_indexed | 2024-04-12T15:53:03Z |
| format | Article |
| id | doaj.art-9cfa52f7d62544639fb9eb618ab8e3ac |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-04-12T15:53:03Z |
| publishDate | 2018-11-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-9cfa52f7d62544639fb9eb618ab8e3ac2022-12-22T03:26:27ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612018-11-011035768COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACHAlina Maria Andronovici0Irina Draga Căruntu1Loredana Hurjui2Cristiana Vlad3Liliana Foia4Grigore T. Popa” University of Medicine and Pharmacy, Faculty of Dental Medicine, Department of SurgeryGrigore T. Popa” University of Medicine and Pharmacy, Faculty of Medicine, Department of Morphological SciencesGrigore T. Popa” University of Medicine and Pharmacy, Faculty of Medicine, Department of Functional SciencesGrigore T. Popa” University of Medicine and Pharmacy, Faculty of Medicine, Department of Medical SciencesGrigore T. Popa” University of Medicine and Pharmacy, Faculty of Dental Medicine, Department of SurgeryBoth periodontal disease and chronic kidney disease (CKD) are inflammatory disorders that considerably affect the patients’ overall health and life quality. Periodontal disease occurs somehow more often in CKD people, but it remains indeterminate whether periodontal disease is an independent risk factor in this population or what the true nature of their relationship is. Objectives. Our study focused on investigating the relationship between CKD and periodontitis, and the influence of the latter’s presence and severity on the former, through evaluation of the periodontal status in predialysis and dialysis CKD and healthy subjects with periodontitis. Materials and method. The patients included in our study were divided in two groups, study (n=59) with end-stage CKD and periodontitis, and control (n=20), with periodontitis but without renal impairment. All the subjects underwent dental and periodontal evaluation, using parameters common in clinical examination (Periodontal Disease Index –PDI, dental mobility, bleeding on probing – BOP, inflammatory hyperplasia, gingival recession, probing depth – PD and clinical attachment loss – CAL). Both groups also answered questions about their meal plan and oral hygiene habits and their access to dental care. Results. There were visible differences between the groups when considering social and economic status and access to dental and periodontal services, which is relevant for the distribution of periodontal disease severity between groups (56% from the study group had severe periodontitis, with only 10% in the control group). The study group also had more missing teeth, deeper periodontal pockets and more signs of inflammation. It is still unclear if this is due only to low social and economic status or is it a consequence of CKD and hemodialysis. Conclusions. There is a link between the two entities, but it is still unclear if this is due just to the pathophysiology of periodontitis and CKD, or are the external and local factors involved. Further investigation is needed to clarify this issue and to be able to produce viable prevention and treatment programs for people with end-stage CKD.http://www.rjor.ro/wp-content/uploads/2018/09/COMPARATIVE-ANALYSIS-OF-PERIODONTAL-STATUS-IN-HEMODYALYSIS-PATIENTS-%E2%80%93-A-CLINICAL-APPROACH.pdfRJOR.pdfperiodontal diseaseend stage CKDhemodialysis |
| spellingShingle | Alina Maria Andronovici Irina Draga Căruntu Loredana Hurjui Cristiana Vlad Liliana Foia COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH Romanian Journal of Oral Rehabilitation periodontal disease end stage CKD hemodialysis |
| title | COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH |
| title_full | COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH |
| title_fullStr | COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH |
| title_full_unstemmed | COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH |
| title_short | COMPARATIVE ANALYSIS OF PERIODONTAL STATUS IN HEMODYALYSIS PATIENTS – A CLINICAL APPROACH |
| title_sort | comparative analysis of periodontal status in hemodyalysis patients a clinical approach |
| topic | periodontal disease end stage CKD hemodialysis |
| url | http://www.rjor.ro/wp-content/uploads/2018/09/COMPARATIVE-ANALYSIS-OF-PERIODONTAL-STATUS-IN-HEMODYALYSIS-PATIENTS-%E2%80%93-A-CLINICAL-APPROACH.pdfRJOR.pdf |
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