Gupta Radhika, Kumar Uttam, Mallapragada Siddharth, Agarwal Pallavi
Department of Periodontology, School of Dental Sciences Greater Noida, Uttar Pradesh, India, Phone: +919818150018, e-mail:
Department of Periodontology, School of Dental Sciences Greater Noida, Uttar Pradesh, India.
J Contemp Dent Pract. 2018 Mar 1;19(3):324-330.
Periodontitis, a chronic infectious disease, affects most of the population at one time or the other and its expression is a combination of hosts, microbial agents, and environmental factors. Extensive literature exists for the relationship between periodontal disease and diabetes mellitus, cardiovascular diseases, and adverse pregnancy outcomes. Only a few studies performed in a limited number of patients have reported peri-odontal health status in chronic renal failure patients. Hence, the aim of the present study is to assess and compare the periodontal status of patients with chronic renal failure undergoing dialysis, predialysis with systemically healthy individuals.
A total of 90 patients were divided into three groups. Group I: 30 renal dialysis patients. Group II: 30 predialysis patients. Control group comprised 30 systemically healthy patients who formed group III. Periodontal examination was carried out using oral hygiene index-simplified (OHI-S), plaque index (PI), gingival index (GI), probing depth, and clinical attachment loss.
The results of the study showed that the periodontal status of patients with chronic renal failure undergoing dialysis (dialysis group) and patients with chronic renal failure not undergoing renal dialysis (predialysis) when compared with systemically healthy subjects showed significantly higher mean scores of OHI-S, PI, and clinical attachment loss.
Thus, patients with chronic renal failure showed poor oral hygiene and higher prevalence of periodontal disease.
The dental community's awareness of implications of poor health within chronic renal failure patients should be elevated.
牙周炎是一种慢性感染性疾病，影响着大多数人群，其表现是宿主、微生物因子和环境因素共同作用的结果。关于牙周疾病与糖尿病、心血管疾病及不良妊娠结局之间的关系，已有大量文献报道。仅有少数针对有限数量患者开展的研究报告了慢性肾衰竭患者的牙周健康状况。因此，本研究的目的是评估并比较接受透析的慢性肾衰竭患者、透析前慢性肾衰竭患者与全身健康个体的牙周状况。
总共90名患者被分为三组。第一组：30名肾透析患者。第二组：30名透析前患者。对照组由30名全身健康的患者组成，即第三组。使用简化口腔卫生指数（OHI-S）、菌斑指数（PI）、牙龈指数（GI）、探诊深度和临床附着丧失进行牙周检查。
研究结果显示，与全身健康受试者相比，接受透析的慢性肾衰竭患者（透析组）和未接受肾透析的慢性肾衰竭患者（透析前）的牙周状况在OHI-S、PI和临床附着丧失方面的平均得分显著更高。
因此，慢性肾衰竭患者口腔卫生较差，牙周疾病患病率更高。
牙科界应提高对慢性肾衰竭患者健康状况不佳影响的认识。
