Assessment of oral manifestations in patients with renal failure / Avaliação das manifestações bucais nos pacientes com insuficiência renal

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

In the last few years there has been an increase in the incidence and prevalence of chronic kidney disease. Therefore it is important that dentists have appropriate knowledge to provide quality dental care. In addition to the significant oral effect brought about by this systemic change, it is important that these patients have appropriate and controlled oral health, in light of the imminent possibility of kidney transplantation. The objective of this study is to assess the oral and systemic manifestations of patients with chronic renal failure and correlate salivary flow and co-morbidities that are present with oral manifestations. The study was made up of clinical examination, anamnesis, physical examination and implementation of indices of oral hygiene, DMFT, PSR and clinical evaluation of the level of salivary flow.In this study, the majority of patients were aged between the 4th and 6th decade of life (72.72%), with a 2:1 male to female ratio. The main causes of CRF were glomerulonephritis and diabetes mellitus (31.8%). The main oral changes were gingivitis (31.8%), angular cheilitis (18.1%), erythematous candidiasis (18.1%), tooth abrasion (40.9%), dental erosion (36.3%), cervical caries (22.7%) and bruxism (4.5%). Most patients had a low DMFT index (54.54%). As regards PSR, mild gingivitis represented the highest percentage at 36.4%. The index of oral hygiene was adequate in most patients (63,63%). When the level of stimulated salivary flow was assessed, the values found were within the parameters of normality. Laboratory tests found that 100% of patients had high serum creatinine and pre-dialysis urea, and there were high values of post-hemodialysis urea in most patients (77.27%). The level of serum potassium was also high. There were significant positive correlation values for the correlation of salivary flow with the disease´s time variables and serum creatinine. In the correlation of salivary flow rates with indices of oral hygiene, periodontal index, and DMFT, there were no statistically significant correlations. The levels of salivary flow correlated negatively with calcium and age of the patients.

ASSUNTO(S)

manifestações bucais oral health periodontal indices placa dental renal disease higiene oral saliva dental plaque oral manifestations indice periodontal doença renal saliva

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