J Dent Rehabil Appl Sci.  2024 May;40(2):46-54. 10.14368/jdras.2024.40.2.46.

Periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplant surgery

• Choi YK
• Jeon HM
• Joo JY
• Kim HJ
• Kwon EY

• KMID: 2562748
• DOI: http://doi.org/10.14368/jdras.2024.40.2.46

Abstract

Purpose
The purpose of this study was to compare the periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to renal transplantation surgery with those having normal kidney function.
Materials and Methods
Patients who had been undergoing dialysis for end-stage renal disease and been referred to the Dental Clinic Center by the Department of Nephrology at University Hospital for intraoral evaluation prior to kidney transplantation surgery. For comparison of periodontal status, subjects without abnormalities in kidney function were matched with the patients by age and gender and selected as healthy controls. The patients’ age, gender, comorbidities, type of dialysis received, and duration of dialysis were investigated by reference to their medical records, and data on their periodontal status were analyzed via the relevant periodontal records.
Results
A total of 102 patients, including 51 dialyzed patients and 51 healthy control group subjects, participated in this study. In the patients with end-stage renal disease undergoing dialysis with periodontal probing depth of 5 mm or more, percentage of sites with clinical attachment level of 4 mm or more, percentage of teeth with bleeding on probing, number of missing teeth, and ratio of moderate to severe periodontitis were all significantly greater than in the healthy controls.
Conclusion
The periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplantation was worse than that of healthy controls.

Keyword

oral health; periodontal diseases; renal dialysis; renal insufficiency; transplantation

Figure

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  Fig. 1 Comparison of periodontal findings between dialysis group and HC group. (A) Comparison of PPD values, (B) Comparison of CAL values, (C) Comparison of PPD 5% values, (D) Comparison of CAL 4% values, (E) Comparison of BOP (%) values, (F) Comparison of number of missing teeth values. HC: healthy control; PPD: periodontal probing depth; CAL: clinical attachment level ; PPD 5%: the percentage of sites with periodontal probing depth of 5 mm or greater; CAL 4%: the percentage of sites with clinical attachment level of 4 mm or greater; BOP (%): the percentage of teeth with bleeding on probing.

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  Fig. 2 Comparison of severity of periodontitis between dialysis group and HC group. HC: healthy control.

Reference

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