Sekiguchi Ricardo Takiy, Pannuti Claudio Mendes, Silva Helio Tedesco, Medina-Pestana José Osmar, Romito Giuseppe Alexandre
Division of Periodontics, Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Spec Care Dentist. 2012 Jan-Feb;32(1):6-10. doi: 10.1111/j.1754-4505.2011.00223.x.
The aim of this study was to evaluate how oral health is affected by the length of time a patient has been receiving hemodialysis (HD) treatment. Ninety-four subjects participated in this study. Demographic, periodontal parameters, and decayed missing and filled teeth (DMFT) index were recorded by a trained and calibrated examiner. The subjects were divided into two groups: Group L (subjects who had been on HD for less than 36 months), and Group M (those who had been on HD for more than 37 months). In Group M, the mean probing depth was deeper (p= 0.01) and clinical attachment loss was significantly higher (p= 0.02) than subjects in Group L. The DMFT index score was also significantly higher in Group M (p= 0.03). A moderate correlation between length of time on HD and DMFT index, probing depth, and clinical attachment loss was observed. The group of subjects who had been on HD for more than 37 months had more periodontal disease and higher DMFT index scores, suggesting that the length of time on HD could negatively impact oral health.
本研究的目的是评估患者接受血液透析（HD）治疗的时间长短如何影响口腔健康。94名受试者参与了本研究。由一名经过培训且校准过的检查者记录人口统计学、牙周参数以及龋失补牙（DMFT）指数。受试者被分为两组：L组（接受HD治疗时间少于36个月的受试者）和M组（接受HD治疗时间超过37个月的受试者）。在M组中，平均探诊深度更深（p = 0.01），临床附着丧失显著更高（p = 0.02），高于L组的受试者。M组的DMFT指数评分也显著更高（p = 0.03）。观察到HD治疗时间与DMFT指数、探诊深度和临床附着丧失之间存在中度相关性。接受HD治疗超过37个月的受试者组有更多的牙周疾病和更高的DMFT指数评分，这表明HD治疗时间可能对口腔健康产生负面影响。
