J Dent Rehabil Appl Sci.
2024 May;40(2):46-54. 10.14368/jdras.2024.40.2.46.
Periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplant surgery
- Affiliations
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- 1Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea
- 2Department of Periodontology, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
- 3Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea
- KMID: 2562748
- DOI: http://doi.org/10.14368/jdras.2024.40.2.46
Abstract
- Purpose
The purpose of this study was to compare the periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to renal transplantation surgery with those having normal kidney function.
Materials and Methods
Patients who had been undergoing dialysis for end-stage renal disease and been referred to the Dental Clinic Center by the Department of Nephrology at University Hospital for intraoral evaluation prior to kidney transplantation surgery. For comparison of periodontal status, subjects without abnormalities in kidney function were matched with the patients by age and gender and selected as healthy controls. The patients’ age, gender, comorbidities, type of dialysis received, and duration of dialysis were investigated by reference to their medical records, and data on their periodontal status were analyzed via the relevant periodontal records.
Results
A total of 102 patients, including 51 dialyzed patients and 51 healthy control group subjects, participated in this study. In the patients with end-stage renal disease undergoing dialysis with periodontal probing depth of 5 mm or more, percentage of sites with clinical attachment level of 4 mm or more, percentage of teeth with bleeding on probing, number of missing teeth, and ratio of moderate to severe periodontitis were all significantly greater than in the healthy controls.
Conclusion
The periodontal status of end-stage renal disease patients undergoing dialysis and referred for intraoral evaluation prior to kidney transplantation was worse than that of healthy controls.
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