Oral health status of dialysis patients based on their renal dialysis history in Kerman, Iran.

Oral health status of dialysis patients based on their renal dialysis history in Kerman, Iran.
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伊朗克尔曼透析患者基于肾透析史的口腔健康状况。

DOI:
10.1111/j.1365-2842.2005.01491.x
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发表时间:
2009
影响因子:
1.6
通讯作者:
Fateme Razazpour
Fateme Razazpour
中科院分区:
医学4区
文献类型:
--
作者:
G. Chamani;M. Zarei;M. Radvar;F. Rashidfarrokhi;Fateme Razazpour

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目的 由于宿主防御机制固有的受损,维持肾透析患者高水平的牙周和口腔健康至关重要。本研究的目的是确定伊朗克尔曼肾透析患者的牙周状况和龋齿水平。 材料和方法 对两组患者进行了横断面研究:一组包括 68 名肾透析患者(测试),另一组包括 30 名健康受试者(对照)。记录半口牙龈指数 (GI)、牙菌斑指数 (PI)、探诊深度 (PPD)、牙龈退缩 (GR)、临床附着水平 (CAL) 和探诊出血 (BOP) 以及腐烂、缺失或补牙 (DMFT) 指数。 结果 试验组的GI、BOP、PPD、CAL和GR显着高于对照组;然而,各组之间的 DMFT 没有显着差异。透析持续时间和牙周指数之间没有关系。 结论 慢性肾功能衰竭患者的牙周健康状况似乎不如正常患者。本研究表明家庭口腔护理实践不足。因此,需要制定预防计划来促进血液透析患者的口腔健康状况。
PURPOSE Maintaining a high level of periodontal and oral health in patients undergoing renal dialysis is of paramount importance because of the inherent compromised host defence mechanisms. The aim of the present study was to determine the periodontal status and the level of dental caries in renal dialysis patients in Kerman, Iran. MATERIALS AND METHODS A cross-sectional study was conducted on two groups of patients: one including 68 renal dialysis patients (test) and the other including 30 healthy subjects (control). Half-mouth measurements of Gingival Index (GI), Plaque Index (PI), probing pocket depth (PPD), gingival recession (GR), clinical attachment level (CAL) and bleeding on probing (BOP) as well as decayed, missing or filled teeth (DMFT) index were recorded. RESULTS The GI, BOP, PPD, CAL and GR were significantly greater among the test group as compared with the control group; however, the DMFT did not differ significantly among the groups. There was no relationship between the duration of the dialysis and the periodontal indices. CONCLUSIONS It seems that patients with chronic renal failure have less favourable periodontal health than normal patients. The present study showed that oral home care practices were inadequate. Thus, preventive programmes to promote the oral health status of haemodialysis patients are needed.