Joshi Naresh Prasad, Shrestha Ashish, Bhagat Tarakant, Agrawal Santosh Kumari, Chhetri Roshan
Public Health Dentistry, Chitwan Medical College, Bharatpur, Nepal.
Department of Public Health Dentistry, BP Koirala Institute of Health Sciences, Dharan, Koshi, Nepal.
Int J Dent. 2024 Feb 12;2024:3776702. doi: 10.1155/2024/3776702. eCollection 2024.
This study was done to compare the oral health of chronic kidney disease (CKD) patients on hemodialysis to healthy individuals and to assess the effect of the duration of dialysis on oral health.
A comparative cross-sectional study was conducted among purposively selected 54 cases undergoing dialysis and 54 apparently healthy controls. Caries experience and periodontal status were recorded under similar examination conditions and compared between cases and controls. The correlation between oral health and the duration of dialysis was assessed. A value of <0.05 was considered significant.
The mean age of the participants was 47.09 ± 12.23 years. Median caries experience among cases and controls was two (0-26) and three (0-15), respectively (=0.013). Periodontitis among the two groups was found to be significantly different with a greater number of cases showing increased severity ( < 0.001). The severe form of periodontitis was associated with a greater mean duration of dialysis.
Significant differences exist between the periodontal health of patients undergoing dialysis compared to healthy controls. Longitudinal studies are required to check the causal effect of CKD on periodontitis.
本研究旨在比较接受血液透析的慢性肾脏病（CKD）患者与健康个体的口腔健康状况，并评估透析时间对口腔健康的影响。
对54例接受透析的患者和54例明显健康的对照者进行了一项比较性横断面研究。在相似的检查条件下记录龋病经历和牙周状况，并在病例组和对照组之间进行比较。评估口腔健康与透析时间之间的相关性。P值<0.05被认为具有统计学意义。
参与者的平均年龄为47.09±12.23岁。病例组和对照组的龋病经历中位数分别为2（0 - 26）和3（0 - 15）（P = 0.013）。发现两组之间的牙周炎存在显著差异，更多病例表现出病情加重（P < 0.001）。严重形式的牙周炎与更长的平均透析时间相关。
与健康对照相比，接受透析的患者牙周健康存在显著差异。需要进行纵向研究以检验CKD对牙周炎的因果作用。
