Hamissi J, Porsamimi J, Naseh M R, Mosalaei S
Department of Periodontics & Preventive Dentistry, College of Dentistry, Qazvin University of Medical Science, Qazvin, Iran.
East Afr J Public Health. 2009 Apr;6(1):108-11. doi: 10.4314/eajph.v6i1.45759.
The primary purpose of this investigation was to evaluate the oral health and gingival status of individual's undergoing renal diialysis in Qazvin province.
One hundred eighty Iranian patients on hemodialysis participated in the study, and were divided into three subgroups of the population were studies: 1) those who have been on renal dialysis for less than one year; 2) those on renal dialysis for 1 to 3 years; and 3) those on renal dialysis for longer than 3 years. Four dental indices: the debris index (DI); the calculus index (CI); the plaque index (PI) and the gingival index (GI) were used. Data were compiled and analyzed by using 1-way analysis of variance (ANOVA).
The results of study showed a 100% (n=180) of the individuals undergoing renal dialysis presented prevalence of mild to moderate gingivitis among the studied population. The mean of debris index were 1.65, 2.07, and 2.15, with SD +/- 0.67, 0.47 and 0.48 respectively for the subgroups. The means of plaque index were 1.72, 2.16 and 2.26, with SD +/- 0.64, 036 and 0.42 respectively for the revealed groups. The means of calculus index were 1.58, 2.02 and 2.09, with SD +/- 0.58, 0.28 and 0.39 respectively for the subgroups. The means of gingival index were 1.43, 2.97 and 2.06 with SD +/- 0.67, 0.38 and 0.35 for the subgroups respectively. Turkey's post hoc test showed significant difference in all indices between the 1st and 2nd subgroups, and between the 1st and 3rd subgroups, while no significant difference was found between 2nd and 3rd subgroups.
It was concluded that periodontal it was concluded that periodontal disease is prevalent in renal dialysis patients who showed unacceptable level of oral hygiene and which may increase with the chronicity of the illness. Findings led to the conclusion that the renal dialysis population in Qazvin Province, regardless of length of time on dialysis, is in need of comprehensive professional oral care and self-care instruction. Oral disease was present and is a source of active infection in these medically compromised individuals and, as such, has dire implication for morbidity and mortality.
本调查的主要目的是评估加兹温省接受肾脏透析的个体的口腔健康和牙龈状况。
180名接受血液透析的伊朗患者参与了该研究，并被分为三个亚组进行研究：1）接受肾脏透析少于一年的患者；2）接受肾脏透析1至3年的患者；3）接受肾脏透析超过3年的患者。使用了四个牙科指数：牙垢指数（DI）、牙石指数（CI）、菌斑指数（PI）和牙龈指数（GI）。数据通过单因素方差分析（ANOVA）进行汇总和分析。
研究结果显示，在研究人群中，100%（n = 180）接受肾脏透析的个体存在轻度至中度牙龈炎。各亚组的牙垢指数平均值分别为1.65、2.07和2.15，标准差分别为±0.67、0.47和0.48。各亚组的菌斑指数平均值分别为1.72、2.16和2.26，标准差分别为±0.64、0.36和0.42。各亚组的牙石指数平均值分别为1.58、2.02和2.09，标准差分别为±0.58、0.28和0.39。各亚组的牙龈指数平均值分别为1.43、2.97和2.06，标准差分别为±0.67、0.38和0.35。土耳其事后检验显示，第一亚组与第二亚组之间以及第一亚组与第三亚组之间在所有指数上均存在显著差异，而第二亚组与第三亚组之间未发现显著差异。
得出的结论是，牙周疾病在接受肾脏透析的患者中普遍存在，这些患者的口腔卫生水平令人无法接受，且可能随着疾病的慢性化而增加。研究结果得出结论，加兹温省的肾脏透析人群，无论透析时间长短，都需要全面的专业口腔护理和自我护理指导。口腔疾病在这些有医疗问题的个体中存在且是活跃感染源，因此对发病率和死亡率有严重影响。
