IADR Abstract Archives
Correlation between periodontal diseases and chronic kidney disease (CKD)
Objectives: High prevalence of chronic kidney disease (CKD) is a serious risk for many Iranians. The association between gum disease and systemic diseases have been reported. The aim of this study was to evaluate the correlation between CKD and periodontal diseases among Iranian population.
Methods: CKD samples (n=192) were recruited from patient pool of the “Labafinejad” hospital in Tehran. Two questionnaires were used for demographic, clinical and behavioral data collection. WHO examination form was used for oral health clinical assessment. Version 22 SPSS software was used for analysis of data. The significance level was considered as P <0.05
Results: About 47% cases were male, the mean age was 51.9 years and the mean duration of CKD in our sample was 7.2 years. About 67.7%(n=130) patients experienced dental pain and gum bleeding during the past year. About 34.4%(n=66) had clinical attachment loss and 56.7%(n =109) had pocket, both greater than 4 mm. The mean PI index was 1.43(± 0.91) in CKD patients, varying from zero to three. This study showed that higher daily tooth cleaning could reduce the DMFT index. There was a significant correlation between Oral Hygiene index, education level and duration of CKD. As the literacy level increased, Oral Hygiene increased as well. In addition, increase in ORAL HYGIENE was associated with reduced duration of illness. The relationship between CAL, age and education suggests that, as the age increases, the CAL increases and with increase in education, the CAL decreases. The comparison between periodontal indices among CKD patients with national average scores revealed higher scores in CKD patients.
Conclusions: Most CKD patients had limited income, education and mostly did not take good personal oral care. That’s why, almost all patients needed dental treatments. While, they generally could not afford going to dentist due to low income and lack of insurance coverage. Given that, oral diseases are predominantly preventable, it is suggested that routine referral of CKD patients to dentist should be included in treatment protocol of these patients and it should be highly recommended and emphasized by general physicians and nephrologists in order to prevent the exacerbation of CKD and improve the quality of life in these patients.
Methods: CKD samples (n=192) were recruited from patient pool of the “Labafinejad” hospital in Tehran. Two questionnaires were used for demographic, clinical and behavioral data collection. WHO examination form was used for oral health clinical assessment. Version 22 SPSS software was used for analysis of data. The significance level was considered as P <0.05
Results: About 47% cases were male, the mean age was 51.9 years and the mean duration of CKD in our sample was 7.2 years. About 67.7%(n=130) patients experienced dental pain and gum bleeding during the past year. About 34.4%(n=66) had clinical attachment loss and 56.7%(n =109) had pocket, both greater than 4 mm. The mean PI index was 1.43(± 0.91) in CKD patients, varying from zero to three. This study showed that higher daily tooth cleaning could reduce the DMFT index. There was a significant correlation between Oral Hygiene index, education level and duration of CKD. As the literacy level increased, Oral Hygiene increased as well. In addition, increase in ORAL HYGIENE was associated with reduced duration of illness. The relationship between CAL, age and education suggests that, as the age increases, the CAL increases and with increase in education, the CAL decreases. The comparison between periodontal indices among CKD patients with national average scores revealed higher scores in CKD patients.
Conclusions: Most CKD patients had limited income, education and mostly did not take good personal oral care. That’s why, almost all patients needed dental treatments. While, they generally could not afford going to dentist due to low income and lack of insurance coverage. Given that, oral diseases are predominantly preventable, it is suggested that routine referral of CKD patients to dentist should be included in treatment protocol of these patients and it should be highly recommended and emphasized by general physicians and nephrologists in order to prevent the exacerbation of CKD and improve the quality of life in these patients.