Department of Urology, Somalia Turkiye Training and Research Hospital, Mogadishu, Somalia.
Eur Rev Med Pharmacol Sci. 2023 Jul;27(14):6539-6544. doi: 10.26355/eurrev_202307_33124.
This study investigated the correlation between dental calculi grading and renal stone burden grading.
This study was designed as an observational single-center study and included consecutive patients with radiologically confirmed renal stones at our center between January 2022 and July 2022. These patients were referred to the dentistry clinic for a dental examination to assess dental calculi and oral hygiene. Investigated parameters included demographic characteristics, renal stone location and diameter, urine pH, and dental evaluation findings (teeth brushing habits, oral hygiene, and dental calculi). Renal stone burden grade and dental calculi grade were calculated, and Spearman's rank-order correlation analysis was used for correlation analyses.
Overall, 204 patients were included. The mean patient age was 36.3±15.2. Approximately half of the patients (49.2%) had multiple stones. About 36% of the participants had high-grade dental calculi, while 29.4% had intermediate low-grade dental calculi. Oral hygiene was significantly associated with dental calculi grade (p<0.001). The dental calculi grade was positively and moderately correlated with the renal stone diameter (Spearman's rho=0.493, p<0.001). Among patients with a renal stone diameter greater than 20 mm, intermediate to high-grade dental calculi were found in 88.4%. This proportion was 49.1% for those with a renal stone diameter smaller than 20 mm.
Dentists should consider the presence of undiagnosed kidney stones in patients with especially intermediate or high-grade dental calculi. Urologists should know that patients with large and multiple kidney stones may have dental calculi.
本研究旨在探讨牙石分级与肾结石负荷分级之间的相关性。
本研究设计为观察性单中心研究，纳入 2022 年 1 月至 2022 年 7 月期间在我院经影像学证实为肾结石的连续患者。这些患者被转介到牙科诊所进行牙科检查，以评估牙石和口腔卫生状况。调查的参数包括人口统计学特征、肾结石的位置和直径、尿液 pH 值以及牙科评估结果（刷牙习惯、口腔卫生和牙石）。计算肾结石负荷分级和牙石分级，并进行 Spearman 秩相关分析以进行相关性分析。
共有 204 例患者入组，平均年龄为 36.3±15.2 岁。约一半的患者（49.2%）有多个结石，约 36%的参与者有高级别牙石，29.4%有中低级别的牙石。口腔卫生与牙石分级显著相关（p<0.001）。牙石分级与肾结石直径呈正相关且中度相关（Spearman's rho=0.493，p<0.001）。肾结石直径大于 20mm 的患者中，中高级牙石的检出率为 88.4%，而肾结石直径小于 20mm 的患者中，这一比例为 49.1%。
牙医应在存在未经诊断的肾结石的情况下考虑患者的情况，特别是中高级别的牙石。泌尿科医生应知道，大结石和多发性肾结石的患者可能存在牙石。
