IADR Abstract Archives
Oral Status and Related Quality of Life of Renal Dialysis Children in Alexandria, Egypt
Objectives: The aim of this study was to assess the oral health conditions and oral health related quality of life of children undergoing renal dialysis, in Alexandria, Egypt. Furthermore, the results were compared to age and gender matched healthy controls.
Methods: A cross sectional analytical study was conducted on 70 patients aged 6–18 years recruited from governmental hospitals having renal dialysis units for children in Alexandria, whereas 70 healthy controls were recruited from different public schools. Demographic data, medical and dental history were collected. Validated Arabic version, self-reporting child oral health-related quality of life (COHQoL) questionnaire was used followed by intra-oral examination (caries experience, plaque and gingival indices, calculus and enamel hypoplasia scores were assessed).
Results: Dialysis children had significantly higher plaque, calculus deposits, gingival and enamel hypoplasia scores whereas mean DMFT was higher among healthy children. Significant differences existed between both groups regarding parental education, dental visits, oral hygiene and snacking habits.Children on renal dialysis showed significantly higher scores indicating worse oral health related quality of life domains (oral symptoms, functional limitation, emotional and social wellbeing) and total score than their healthy counterparts.
A significant positive correlation was detected between duration of dialysis and oral health quality of life domains. Also duration of dialysis was positively correlated with all oral indices among renal dialysis children.
Conclusions: Children undergoing renal dialysis showed significantly worse oral health conditions and related quality of life than healthy controls except for dental caries status.
The results of the study suggest a need for dental advice, supervision and indicate that dental and medical care should be closely integrated for children on renal dialysis. Therefore, dental health practitioners must be knowledgeable about the treatment priorities, operative concerns and precautions to be taken among this special population.
Methods: A cross sectional analytical study was conducted on 70 patients aged 6–18 years recruited from governmental hospitals having renal dialysis units for children in Alexandria, whereas 70 healthy controls were recruited from different public schools. Demographic data, medical and dental history were collected. Validated Arabic version, self-reporting child oral health-related quality of life (COHQoL) questionnaire was used followed by intra-oral examination (caries experience, plaque and gingival indices, calculus and enamel hypoplasia scores were assessed).
Results: Dialysis children had significantly higher plaque, calculus deposits, gingival and enamel hypoplasia scores whereas mean DMFT was higher among healthy children. Significant differences existed between both groups regarding parental education, dental visits, oral hygiene and snacking habits.Children on renal dialysis showed significantly higher scores indicating worse oral health related quality of life domains (oral symptoms, functional limitation, emotional and social wellbeing) and total score than their healthy counterparts.
A significant positive correlation was detected between duration of dialysis and oral health quality of life domains. Also duration of dialysis was positively correlated with all oral indices among renal dialysis children.
Conclusions: Children undergoing renal dialysis showed significantly worse oral health conditions and related quality of life than healthy controls except for dental caries status.
The results of the study suggest a need for dental advice, supervision and indicate that dental and medical care should be closely integrated for children on renal dialysis. Therefore, dental health practitioners must be knowledgeable about the treatment priorities, operative concerns and precautions to be taken among this special population.