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Article in Spanish, English | LILACS-Express | LILACS | ID: biblio-1053508

ABSTRACT

Objetivo. Determinar el estado de salud periodontal del paciente trasplantado renal, mediante la revisión de las historias clínicas diligenciadas por odontólogos generales o especialistas así como por la percepción de calidad de vida post-transplante, en relación con la salud bucal. Métodos. Estudio descriptivo transversal con 30 participantes de una unidad de transplante renal de la ciudad de Medellín, Colombia. Se exploraron antece- dentes médico-odontológicos personales y familiares, examen bucal y periodontograma completo, por un solo examinador (Kappa= 0,79). Se aplicó la encuesta Oral Health Impact Profile (OHIP-14). Resultados . Edad promedio de 35 años (d.s±20,5), 50% hombres y 70% residentes en Medellín. El 46,7% tuvo falla renal de carácter idiopático. Del 44,3% que presentaron problemas periodontales, el 73% tuvo periodontitis locali- zada, 31,8% bolsas periodontales de 4 mm. El cuestionario de calidad de vida aplicado mostró dos dimensiones afectadas: dolor físico y malestar psicológico (23,4% y 20% res- pectivamente). Conclusiones. Los pacientes trasplantados renales tuvieron compromiso periodontal. La severidad medida por la pérdida de inserción, mostró un resultado poco satisfactorio, considerando que los pacientes deben estar libres de factores irritativos e inflamatorios en la boca. El OHIP-14 es un instrumento amigable y sencillo para valorar la calidad de vida asociada a salud bucal.


Objective. Determine the periodontal health status of the renal transplantation patient, by reviewing the medical records filled out by general dentists or specialists as well as the perception of post-transplantation quality of life, in relation to oral health. Methods . Cross-sectional descriptive study with 30 participants from renal transplantation unit in the city of Medellín, Colombia. Personal and family medical-dental history, oral exam and complete periodontogram were explored by a single examiner (Kappa = 0.79). The Oral Health Impact Profile (OHIP-14) survey was applied. Results. Average age: 35 years (d.s ± 20.5), 50% men and 70% residents in Medellín. 46.7% had idiopathic renal failure. From the 44.3% who presented periodontal problems, 73% had localized peri- odontitis, 31.8% periodontal pockets of 4 mm. The quality of life applied questionnaire showed two affected dimensions: physical pain and psychological distress (23.4% and 20% respectively). Conclusions. The kidney transplantation patients had periodontal involvement. The severity measured by the loss of insertion, showed an unsatisfactory result, considering that patients should be free of irritating and inflammatory factors in the mouth. The OHIP-14 is a friendly and simple instrument to assess the quality of life associated with oral health

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