Department of Periodontology, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
Private Dental Practice, Weilburg, Germany.
J Clin Periodontol. 2020 Jan;47(1):19-29. doi: 10.1111/jcpe.13208. Epub 2019 Nov 6.
To assess the prevalence and severity of periodontitis in patients with moderate chronic kidney disease (CKD) and comparing the results with the self-reported periodontitis awareness of the study subjects.
The periodontal status of 270 patients with moderate CKD randomly selected from a cohort of 5,217 subjects participating in the prospective observational German Chronic Kidney Disease (GCKD) project was analysed by recording bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment level (CAL). Furthermore, the awareness of the study subjects of their periodontal conditions was evaluated by a self-reported questionnaire.
24.4% of the CKD study patients showed no or only mild signs of periodontal disease, 47.6% displayed moderate and 27% severe periodontitis. Questionnaire data revealed that 62.3% of the study subjects with severe periodontitis were not aware of the presence of the disease, 44.4% denied having received any systematic periodontal therapy so far, although 50% of them indicated to visit their dentist regularly for professional tooth cleanings.
While the clinical study data confirm an increased prevalence of periodontitis in CKD patients, their self-reported awareness of periodontitis was low.
评估中重度慢性肾脏病（CKD）患者牙周炎的患病率和严重程度，并将结果与研究对象自我报告的牙周炎意识进行比较。
从参与前瞻性观察性德国慢性肾脏病（GCKD）项目的 5217 名受试者队列中随机选择 270 名中重度 CKD 患者，通过记录探诊出血（BOP）、探诊牙周袋深度（PPD）和临床附着水平（CAL）来分析其牙周状况。此外，通过自我报告问卷评估研究对象对其牙周状况的意识。
24.4%的 CKD 研究患者无或仅有轻度牙周疾病迹象，47.6%显示中度，27%显示重度牙周炎。问卷调查数据显示，62.3%患有重度牙周炎的研究对象不知道自己患有这种疾病，44.4%否认迄今为止接受过任何系统性牙周治疗，尽管其中 50%的人表示定期去看牙医进行专业洁牙。
虽然临床研究数据证实 CKD 患者牙周炎的患病率增加，但他们自我报告的牙周炎意识较低。
