Ziebolz Dirk, Fischer Petra, Hornecker Else, Mausberg Rainer F
Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Goettingen, Goettingen, Germany.
Hemodial Int. 2012 Jan;16(1):69-75. doi: 10.1111/j.1542-4758.2011.00606.x.
The aim of the study was to investigate the oral hygiene behavior and state of oral health of hemodialysis (HD) patients in Germany. HD patients attending two dialysis centers were asked to participate in the study. Anamneses and oral hygiene behavior were recorded in a questionnaire. Dental examination included the dental status (DMF-T) and the degree of gingival inflammation (PDI: Periodontol Disease Index). Of 129 patients contacted, 54 (42%), aged 63.9 ± 13.0 years (23 women and 31 men), took part in the study. At an average, dialysis was required for 4.1 years. The cause of terminal renal failure was glomerulonephritis in 30% of patients and diabetic nephropathy in 22% of patients. Since dialysis therapy, 63% of the patients (n = 34) only visited a dentist when they had complaints. In 46 cases (85%), the dentist had been informed about the patient's requirement for dialysis, and in most cases (70%), the dental treatment took place on the day after dialysis. The mean DMF-T of the HD patients was 22.1 ± 6.5. The proportion of carious teeth was low (D-T: 0.7 ± 1.2), of missing teeth (M-T) high (16.2 ± 9.3). The median degree of gingival inflammation (PDI) was 1. Availing themselves of dental treatment after patients needed to have dialysis was mostly "complaint oriented." In addition to a high proportion of missing teeth, a good level of restoration of caries was found. The gingiva showed only a low level of inflammatory changes.
该研究旨在调查德国血液透析（HD）患者的口腔卫生行为和口腔健康状况。邀请了两个透析中心的HD患者参与该研究。通过问卷记录患者的既往病史和口腔卫生行为。牙科检查包括牙齿状况（DMF-T）和牙龈炎症程度（PDI：牙周疾病指数）。在联系的129名患者中，54名（42%），年龄为63.9±13.0岁（23名女性和31名男性）参与了研究。平均而言，透析治疗时间为4.1年。终末期肾衰竭的病因在30%的患者中是肾小球肾炎，在22%的患者中是糖尿病肾病。自透析治疗以来，63%的患者（n = 34）仅在有不适时才去看牙医。在46例（85%）中，牙医已被告知患者的透析需求，并且在大多数情况下（70%），牙科治疗在透析后的第二天进行。HD患者的平均DMF-T为22.1±6.5。龋齿比例较低（D-T：0.7±1.2），缺牙比例较高（M-T：16.2±9.3）。牙龈炎症的中位数（PDI）为1。患者在需要透析后接受牙科治疗大多是“以不适为导向”。除了缺牙比例较高外，发现龋齿的修复水平良好。牙龈仅表现出低水平的炎症变化。
