The association between periodontal conditions, inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis patients
J. appl. oral sci
;
26: e20170495, 2018. tab
Article
in English
| LILACS, BBO
| ID: biblio-954517
ABSTRACT
Abstract Objectives To analyze the association between periodontal conditions and inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis (HD) patients. Material and Methods We analyzed 128 HD patients divided into two groups dentate (n = 103) and edentulous (n=25). The following items were assessed baseline characteristics, age at the start and duration of HD, biochemical data C-reactive protein (CRP), serum albumin, calcium, phosphorus, alkaline phosphatase, parathormone. A single dentist performed a complete dental/periodontal examination, including parameters of oral hygiene and gingival bleeding. Results One person had healthy periodontium, 62.14% of the patients had gingivitis, and 36.9% had moderate or severe periodontitis. The age at HD onset had a positive impact on periodontal status and negatively correlated with the number of teeth. A positive correlation between age and CRP level and negative correlations between age and serum albumin and phosphorus were found. Pocket depth (PD) was negatively correlated with serum albumin. The number of teeth was negatively correlated with serum CRP. Conclusions High prevalence and severity of periodontal disease are observed in hemodialysis patients. There is a high probability that periodontal disease may be present at the early stages of chronic kidney disease (CKD) before the hemodialysis onset.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Periodontitis
/
Phosphorus Metabolism Disorders
/
Calcium Metabolism Disorders
/
Nutritional Status
/
Renal Dialysis
/
Gingivitis
Type of study:
Etiology study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
English
Journal:
J. appl. oral sci
Journal subject:
Dentistry
Year:
2018
Type:
Article
Affiliation country:
Poland
Institution/Affiliation country:
Wroclaw Medical University/PL
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