Souza Cleber M, Braosi Ana Paula R, Luczyszyn Sônia M, Casagrande Rafaela W, Pecoits-Filho Roberto, Riella Miguel C, Ignácio Sérgio A, Trevilatto Paula C
Renal, Diabetes and Hypertension Research Center, Pro-Renal Foundation, Curitiba, Brazil.
Rev Med Chil. 2008 Jun;136(6):741-6. Epub 2008 Aug 26.
Poor oral health status may have an impact on the health status of patients with chronic renal failure.
To describe the oral health status of a group of Brazilian patients with chronic renal failure.
Retrospective review of the medical records of patients with chronic renal failure, of whom 13 (4.5%) were in a predialysis stage, 158 (55%) were on hemodialysis, 23 (8.4%) were on peritoneal dialysis and 92 (32.1%) were transplanted. General oral health, presence of dental calculus, and halitosis were recorded. The number of decayed, missed and filled teeth was analyzed by means of DMF-T (Decayed, Missed and Filled Teeth) index.
The sample was composed of 152 men (53%) and 134 women (47%), aged 42+/-13 years. Oral health status was considered defective in most patients (83%). Eighty-seven percent had dental calculus and 55% had halitosis. Transplant patients reported significantly less halitosis (40.2%) than the rest of the groups. The DMF-T for the whole population was 20.6 and had a positive correlation with age.
This group of patients with chronic renal failure presented a poor oral health status. Dental treatment programs for these patients should be implemented to avoid the exposure to dental pathogens.
口腔健康状况不佳可能会对慢性肾衰竭患者的健康状况产生影响。
描述一组巴西慢性肾衰竭患者的口腔健康状况。
对慢性肾衰竭患者的病历进行回顾性分析，其中13例（4.5%）处于透析前阶段，158例（55%）接受血液透析，23例（8.4%）接受腹膜透析，92例（32.1%）接受了移植手术。记录患者的总体口腔健康状况、牙结石情况和口臭情况。通过DMF-T（龋失补牙指数）分析龋、失、补牙的数量。
样本包括152名男性（53%）和134名女性（47%），年龄为42±13岁。大多数患者（83%）的口腔健康状况被认为存在缺陷。87%的患者有牙结石，55%的患者有口臭。移植患者的口臭发生率（40.2%）明显低于其他组。总体人群的DMF-T为20.6，且与年龄呈正相关。
这组慢性肾衰竭患者的口腔健康状况较差。应为这些患者实施牙科治疗计划，以避免接触口腔病原体。
