Bayraktar Gulsen, Kurtulus Idil, Kazancioglu Rumeyza, Bayramgurler Isil, Cintan Serdar, Bural Canan, Besler Mine, Trablus Sinan, Issever Halim, Aysuna Nilgun, Ozkan Oktay, Yildiz Alaattin
Department of Removable Prosthodontics, Faculty of Dentistry, Istanbul University, 34093 Istanbul, Turkey.
Int J Dent. 2009;2009:159767. doi: 10.1155/2009/159767. Epub 2009 Mar 10.
Background. In previous studies, the oral and dental health statuses were compared in hemodialysis (HD) and peritoneal dialysis (PD) patients without taking into account the effect of educational levels on oral health. Hence we aimed to make a comparison of these parameters based upon the subjects educational levels. Patients and Methods. 76 PD (33 males, 43 females-mean age: 44 +/- 12 years) and 100 HD (56 males, 44 females-mean age: 46 +/- 14 years) patients were included. The number of decayed, missing and filled teeth were detected, DMFT index was calculated and plaque index (PI) values were assessed. Results. Significantly higher numbers of filled teeth (P < .001) and lower PI values (P < .01) in the PD group were detected with higher educational levels, whereas no significance was detected in the HD group. Higher DMFT index values were assessed in the lower educated and high school levels in PD than HD patients (P < .05). Higher numbers of filled teeth (P < .05) were detected in the secondary school level in PD patients. This difference was even more significant in the high school level (P < .001). Conclusion. We assume that PD patients, who were found to be in a higher educational level, are more caring for their oral health as compared to HD patients.
背景。在以往的研究中，对血液透析（HD）和腹膜透析（PD）患者的口腔和牙齿健康状况进行了比较，但未考虑教育水平对口腔健康的影响。因此，我们旨在根据受试者的教育水平对这些参数进行比较。患者与方法。纳入了76例腹膜透析患者（33例男性，43例女性，平均年龄：44±12岁）和100例血液透析患者（56例男性，44例女性，平均年龄：46±14岁）。检测龋、失、补牙数量，计算DMFT指数并评估菌斑指数（PI）值。结果。在腹膜透析组中，教育水平较高者的补牙数量显著更多（P <.001），菌斑指数值更低（P <.01），而在血液透析组中未检测到显著差异。腹膜透析患者中，受教育程度较低和高中水平者的DMFT指数值高于血液透析患者（P <.05）。腹膜透析患者中学历为中学水平者的补牙数量更多（P <.05）。这种差异在高中学历者中更为显著（P <.001）。结论。我们认为，与血液透析患者相比，教育水平较高的腹膜透析患者更关注自身口腔健康。
