Status of periodontal health in German patients suffering from chronic kidney disease-Data from the GCKD study
Status of periodontal health in German patients suffering from chronic kidney disease-Data from the GCKD study
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DOI：
10.1111/jcpe.13208
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发表时间：
2019-11-06
影响因子：
6.7
通讯作者：
Jockel-Schneider, Yvonne
中科院分区：
文献类型：
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作者：
Dannewitz, Bettina;Sommerer, Claudia;Jockel-Schneider, Yvonne
目的了解中度慢性肾脏疾病（CKD）患者牙周炎的患病率和严重程度，并将结果与研究对象自我报告的牙周炎意识进行比较。材料与方法从5217名德国慢性肾脏疾病（GCKD）前瞻性观察项目中随机抽取270名中度CKD患者，通过记录探诊出血（BOP）、探诊袋深度（PPD）和临床附着水平（CAL）对其牙周状况进行分析。此外，研究对象的牙周状况的认识是通过自我报告问卷进行评估。结果24.4% CKD患者无或仅有轻度牙周病症状，47.6%表现为中度牙周炎，27%表现为重度牙周炎。问卷调查数据显示，62.3%患有严重牙周炎的研究对象不知道自己患有牙周炎，44.4%的人否认迄今为止接受过任何系统的牙周治疗，尽管其中50%的人表示定期去看牙医进行专业的牙齿清洁。结论：虽然临床研究数据证实CKD患者牙周炎患病率增加，但他们自我报告的牙周炎意识较低。
Aim To assess the prevalence and severity of periodontitis in patients with moderate chronic kidney disease (CKD) and comparing the results with the self-reported periodontitis awareness of the study subjects. Material and methods The periodontal status of 270 patients with moderate CKD randomly selected from a cohort of 5,217 subjects participating in the prospective observational German Chronic Kidney Disease (GCKD) project was analysed by recording bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment level (CAL). Furthermore, the awareness of the study subjects of their periodontal conditions was evaluated by a self-reported questionnaire. Results 24.4% of the CKD study patients showed no or only mild signs of periodontal disease, 47.6% displayed moderate and 27% severe periodontitis. Questionnaire data revealed that 62.3% of the study subjects with severe periodontitis were not aware of the presence of the disease, 44.4% denied having received any systematic periodontal therapy so far, although 50% of them indicated to visit their dentist regularly for professional tooth cleanings. Conclusion While the clinical study data confirm an increased prevalence of periodontitis in CKD patients, their self-reported awareness of periodontitis was low.