Underlying Kidney Disease and Duration of Hemodialysis: An Assessment of Its Effect on Oral Health
Background: Dental health among the patients undergoing haemodialysis therapy has been found to be debilitated and gets worsened with the increased duration of hemodialysis. Hence the present study aimed to assess the effect of duration of hemodialysis and the underlying kidney disease on the de...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2014-05-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/4402/7853_CE(RA1)_F(T)_PF1(P)_PFA(P)_PF2(PP)_PF3(PAG)_PF2(PN).pdf |
Summary: | Background: Dental health among the patients undergoing
haemodialysis therapy has been found to be debilitated and
gets worsened with the increased duration of hemodialysis.
Hence the present study aimed to assess the effect of duration
of hemodialysis and the underlying kidney disease on the dental
health status of patients.
Settings and Design: A cross-sectional study was conducted on
400 patients and 400 controls selected through stratified random
sampling method from five zones of Delhi, India.
Materials and Methods: The patient group was divided into
following five groups in order to evaluate influence of duration of
hemodialysis therapy on dental status of the subjects-a) ≤ three
months b)four to six months c)seven to nine months d) ten to
twelve months and e) more than twelve months. Dental health
was assessed using WHO dentition status and treatment needs,
community periodontal index, oral hygiene index, prosthetic
status and needs.
Statistical Analysis Used: Student t-test, Chi-square test, oneway analysis of variance (ANOVA) and Pearson’s correlation was
used to determine the difference in clinical parameters among
the subgroup and between the patients and controls.
Results: Positive correlation was found between the frequency
of dialysis and maximum CPI scores (p-value=0.018). 81.25%
of patients and 74.75% of the controls had CPI score 2. Loss
of attachment scores in patients was higher than the healthy
controls (p-value 0.035). Mean OHI scores for the patients was
5.15±1.975 and for controls was 5.01±2.213 (p=0.635). Mean
DMFT score of patients and controls was 3.552 and 3.559
respectively (p=0.937). 23%of controls showed presence of dental
prosthesis in comparison to only 14.5 % of patients (p=0.05).
Type of underlying kidney disease and duration of hemodialysis
had significant influence on O.H.I scores and Prosthetic needs.
Conclusion: Dental health status was found to be debilitated
among the hemodialysis patients and got worsened with the
duration of hemodialysis and the type of underlying kidney
disease mainly due to oral health negligence contributing to
morbidity and potential mortality. Further emphasis on the
effective implementation of oral health promotion programme for
medically compromised patients is thus advocated. |
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ISSN: | 2249-782X 0973-709X |