Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (5): 313-317.doi: 10.12016/j.issn.2096-1456.2020.05.008

• Prevention and Treatment Practice • Previous Articles     Next Articles

Investigation of dental caries and periodontal conditions in maintenance hemodialysis patients

WU Hongyu1,MA Xiaoxin1,LU Haixia1,FENG Xiping1,GU Qin1(),YE Wei1(),XIE Yingxin2,XIE Danshu2,WANG Wenji2   

  1. 1. Department of Preventive Dentistry, Shanghai Ninth People′s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China;
    2. Department of nephrology, Shanghai Ninth People′s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Received:2019-07-18 Revised:2020-01-15 Online:2020-05-20 Published:2020-04-24
  • Contact: Qin GU,Wei YE E-mail:guqin80@aliyun.com;jyyewei@163.com

Abstract:

Objective To compare the prevalence of dental caries and periodontal disease in patients with end-stage renal disease treated with maintenance hemodialysis with that in healthy controls and to investigate the relationship between end-stage renal disease, dental caries and periodontal disease.Methods A total of 82 maintenance hemodialysis patients who met the inclusion criteria were selected as the case group, and 86 healthy persons who underwent oral examination in the physical examination center were selected as the control group. Dental caries and periodontal conditions were examined in the two groups. The dental caries examination was conducted by determining the number of decayed-missing-filled teeth, which was recorded as recommended by the World Health Organization. The periodontal condition parameters included the plaque index, calculus index, bleeding on probing, periodontal pocket depth and clinical attachment loss.Results The prevalence of dental caries in the case group and healthy control group was 87.8% and 81.4%, respectively, and there was no statistically significant difference between the two groups (P > 0.05). The periodontal indexes, including the plaque index, calculus index, probe bleeding index, periodontal pocket depth and clinical attachment level, in the case group were significantly higher than those in the control group (P < 0.05), and the prevalence of periodontitis in the case group was significantly higher than that in the control group (97.6% vs 88.4%, P < 0.05).Conclusion The dental caries conditions were comparable between the case group and the control group, but the prevalence and severity of periodontitis were significantly higher in the case group than in the control group.

Key words: chronic kidney disease, end-stage renal disease, maintenance hemodialysis, dental caries, periodontitis, plaque index, calculus index, bleeding on probing, periodontal pocket depth, clinical attachment loss

CLC Number: 

  • R781.1

Table 1

The dental behaviors of the MHD group and the control group n(%)"

MHD group Control group χ2 P
Toothbrushing frequency
Once or less 44(53.7%) 22(25.6%) 13.873 <0.001
Twice or more 38(46.3%) 64(74.4%)
Use of mouth rinse
Yes 8(9.8%) 16(18.6%) 2.684 0.101
No 74(90.2%) 70(81.4%)
Use of dental floss
Yes 6(7.3%) 18(21.2%) 6.515 0.011
No 76(92.7%) 67(78.8%)
Use of toothpick
Yes 35(42.7%) 49(57.6%) 3.738 0.053
No 47(57.3%) 36(42.4%)
Smoking
Yes 56(68.3%) 67(77.9%) 1.979 0.160
No 26(31.7%) 19(22.1%)
Alcohol consumption
Yes 71(86.6%) 52(60.5%) 14.604 <0.001
No 11(13.4%) 34(39.5%)
Diabetes
Yes 24(29.3%) 4(4.7%) 18.043 <0.001
No 58(70.7%) 81(95.3%)
Hypertension
Yes 68(82.9%) 26(30.6%) 46.467 <0.001
No 14(17.1%) 59(69.4%)
Total 82 86

"

MHD group Control group U* P* χ2 P#
Median(IQR ) Prevalence Median(IQR ) Prevalence
DT 1.0(0,2.0) 74.40% 0(0,1.0) 46.50% 2290.5 < 0.001 13.607 < 0.001
MT 1.0(0,3.0) 56.10% 0(0,1.0) 41.90% 2826.0 0.016 3.405 0.065
FT 0(0,1.0) 39.00% 1.0(0,3.0) 54.70% 2733.0 0.006 4.115 0.043
DMFT 4.0(2.0,6.0) 87.80% 3.0(1.0,5.25) 81.40% 3154.0 0.235 1.318 0.251

Table 3

The periodontal status of the MHD group and the control group $\bar{x}±s$"

n MHD group n Control group χ2/t P
PLI% 82 35.4 ± 14.1 86 23.8 ± 10.8 6.013 < 0.001
BOP% 82 19.7 ± 9.2 86 14.1 ± 9.7 3.826 < 0.001
CI% 82 9.6 ± 8.1 86 5.8 ± 5.3 3.654 < 0.001
PD(mm) 82 3.4 ± 0.3 86 3.2 ± 0.3 2.902 0.004
CAL(mm) 82 1.5 ± 0.4 86 1.3 ± 0.3 2.408 0.017
Prevalence of periodontitis 82 80(97.6%) 86 76(88.4%) 5.344 0.021
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