Cengiz M I, Sümer P, Cengiz S, Yavuz U
Department of Periodontology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
Oral Dis. 2009 Jul;15(5):336-41. doi: 10.1111/j.1601-0825.2009.01530.x. Epub 2009 Mar 23.
The purpose of this study was to investigate the dental and periodontal health status of patients on regular hemodialysis (HD) maintenance therapy, and the effect of duration of HD on oral status.
Sixty-eight HD patients and 41 controls were examined. Decayed, Missing or Filled Teeth (DMFT index), plague index (PI), gingival index (GI), Probing pocket depth (PPD) and loss of periodontal attachment (LPA) were examined.
Except DMFT index, significant differences were found in the other index values between patients and controls (P < 0.01). Dialysis duration significantly correlated not with DMFT but with the others. Also, DMFT values showed no significant differences between the five HD subgroups. For the PI, GI and PPD values, the first 5-year period revealed no significant variation, whereas the second 5-year period included significant increases. After 10 years, a much more significant increase was observed. The LPA values did not show any significant differences between the HD subgroups, but after 10 years a significant progressive increase can be observed.
The dental and periodontal health is poor in HD patients and becomes worse with time on dialysis. Thus, oral health maintenance is of utmost importance in this patient group.
本研究旨在调查接受定期血液透析（HD）维持治疗的患者的牙齿和牙周健康状况，以及HD持续时间对口腔状况的影响。
对68例HD患者和41例对照进行检查。检查龋失补牙数（DMFT指数）、菌斑指数（PI）、牙龈指数（GI）、探诊深度（PPD）和牙周附着丧失（LPA）。
除DMFT指数外，患者与对照之间的其他指数值存在显著差异（P < 0.01）。透析持续时间与DMFT无显著相关性，但与其他指标显著相关。此外，五个HD亚组之间的DMFT值无显著差异。对于PI、GI和PPD值，第一个5年期间无显著变化，而第二个5年期间显著增加。10年后，观察到更显著的增加。HD亚组之间的LPA值无显著差异，但10年后可观察到显著的渐进性增加。
HD患者的牙齿和牙周健康状况较差，且随着透析时间的延长而恶化。因此，在该患者群体中保持口腔健康至关重要。
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