Sobrado Marinho Jorge Serafín, Tomás Carmona Inmaculada, Loureiro Alfredo, Limeres Posse Jacobo, García Caballero Lucía, Diz Dios Pedro
Stomatology Service, F. Gentil Portuguesse Oncological Institute, Oporto, Portugal.
Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E305-10.
To evaluate the oral health status of patients with moderate-severe chronic renal failure (CRF) and with terminal renal failure (TRF).
The study group was formed of 50 patients: 22 (44%) with moderate-severe CRF and 28 (56%) with TRF included in a haemodialysis programme. The controls (n=64) presented similar characteristics with regard to sex, age, weight and educational level. A single dentist performed an intraoral examination on all the subjects, gathering information on: number of decayed, missing or filled teeth; supragingival plaque accumulation; calculus deposits; periodontal pockets in the Ramfjord teeth; and depth of loss of insertion.
No significant differences were detected in the values of the DMF index between the two groups. The mean number of decayed teeth was lower in the patients than in the controls, showing a tendency to statistical significance (p=0.052). The mean number of missing teeth was higher in the patients than in the controls (p=0.002). Twelve patients and seven controls were completely edentate. The mean number of filled teeth was significantly lower in the patients than the controls (p<0.001). Supragingival plaque accumulation and the loss of insertion were significantly greater in the patients than in the controls (p=0.006 and p<0.001, respectively). No significant differences were found with respect to the calculus deposits or to the presence of periodontal pockets in the two groups. The value of the DMF index, the mean number of teeth with caries and the number of filled teeth were significantly higher in the patients with moderate-severe CRF than in the patients with TRF (p=0.004, p=0.030 and p=0.006, respectively).
Patients with CRF have a lower prevalence of caries, more supragingival plaque, more teeth with a loss of insertion and more missing teeth than the healthy controls. The prevalence of caries is affected by the severity of the renal failure and/or by haemodialysis treatment.
评估中度至重度慢性肾衰竭（CRF）患者和终末期肾衰竭（TRF）患者的口腔健康状况。
研究组由50名患者组成：22名（44%）中度至重度CRF患者和28名（56%）纳入血液透析项目的TRF患者。对照组（n = 64）在性别、年龄、体重和教育水平方面具有相似特征。由一名牙医对所有受试者进行口腔检查，收集以下信息：龋、失、补牙数；龈上菌斑积聚情况；牙石沉积情况；Ramfjord牙位的牙周袋情况；以及附着丧失深度。
两组间DMF指数值未检测到显著差异。患者的平均龋齿数低于对照组，具有统计学显著性趋势（p = 0.052）。患者的平均失齿数高于对照组（p = 0.002）。12名患者和7名对照者全口无牙。患者的平均补牙数显著低于对照组（p < 0.001）。患者的龈上菌斑积聚和附着丧失显著高于对照组（分别为p = 0.006和p < 0.001）。两组在牙石沉积或牙周袋存在情况方面未发现显著差异。中度至重度CRF患者的DMF指数值、平均龋齿数和补牙数显著高于TRF患者（分别为p = 0.004、p = （此处原文有误，应为p = 0.030）和p = 0.006）。
与健康对照组相比，CRF患者的龋齿患病率较低，龈上菌斑较多，附着丧失的牙齿较多，失牙也较多。龋齿患病率受肾衰竭严重程度和/或血液透析治疗的影响。
Zotero 插件