Dembowska Elżbieta, Jaroń Aleksandra, Rasławska-Socha Joanna, Gabrysz-Trybek Ewa, Bladowska Joanna, Gacek Szymon, Trybek Grzegorz
Departament of Periodontology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Department of Oral Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland.
J Clin Med. 2022 Feb 13;11(4):975. doi: 10.3390/jcm11040975.
Chronic kidney disease (CKD) is an increasingly common condition observed in developing countries. Similarly, a high prevalence of gingivitis and periodontitis is observed. There are reports in the literature about the interrelationship between chronic kidney disease and periodontitis pathophysiology. This dissertation attempts to: assess the extent of gingivitis and periodontitis in a group of patients with the end-stage renal disease treated with hemodialysis compared to healthy subjects. The study included 200 subjects: 100 hemodialysis patients (HD) and 100 healthy control subjects (K). Periodontal status was assessed by measuring pocket depth (PD) clinical level of connective tissue attachment (CAL). Gingival inflammation indices Gingival Index (GI) and Bleeding on Probing (BOP) were also performed. PD with a depth of more than 6mm was found in 25% of the HD group and 5% of the K group. CAL ≥ 5 mm was found in 55% of HD and 24% of the K group. As defined by Page and Eke, severe periodontitis was found in 21% of HD, and 4% of K. Moderate gingivitis was noted in 55% of HD and 5% of the K group. The mean values of the BOP index in the HD group were 32.08% and in the K group 3.09%. The HD group had a higher incidence and severity of gingivitis and periodontitis than the control group.
慢性肾脏病（CKD）在发展中国家是一种日益常见的病症。同样，牙龈炎和牙周炎的高患病率也很常见。文献中有关于慢性肾脏病与牙周炎病理生理学之间相互关系的报道。本论文试图：评估一组接受血液透析治疗的终末期肾病患者与健康受试者相比，牙龈炎和牙周炎的程度。该研究纳入了200名受试者：100名血液透析患者（HD）和100名健康对照受试者（K）。通过测量牙周袋深度（PD）、结缔组织附着临床水平（CAL）来评估牙周状况。还进行了牙龈炎症指数牙龈指数（GI）和探诊出血（BOP）。HD组中25%的患者牙周袋深度超过6mm，K组为5%。HD组中55%的患者CAL≥5mm，K组为24%。根据佩奇和埃克的定义，HD组中21%的患者患有重度牙周炎，K组为4%。HD组中55%的患者有中度牙龈炎，K组为5%。HD组的BOP指数平均值为32.08%，K组为3.09%。HD组牙龈炎和牙周炎的发病率和严重程度高于对照组。
