The effect of the duration of the dialysis in hemodialysis patients on dental and periodontal findings
The effect of the duration of the dialysis in hemodialysis patients on dental and periodontal findings
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DOI：
10.1111/j.1601-0825.2009.01530.x
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发表时间：
2009-07-01
期刊：
影响因子：
3.8
通讯作者：
Yavuz, U.
中科院分区：
文献类型：
--
作者：
Cengiz, M. I.;Suemer, P.;Yavuz, U.
目的：本研究的目的是调查定期血液透析（HD）维持治疗患者的牙齿和牙周健康状况，以及HD持续时间对口腔状况的影响。结果：除龋坏、缺失或充填牙（DMFT）指数外，其余各指标与对照组比较，差异均有显著性（P < 0.01），龋坏、缺失或充填牙（DMFT）指数、菌斑指数（PI）、牙龈指数（GI）、牙周袋深度（PPD）、牙周附着丧失（LPA）均无显著性差异。透析持续时间与DMFT无显著相关性，但与其他指标相关。此外，DMFT值显示5个HD亚组之间无显著差异。对于PI、GI和PPD值，第一个5年期未显示显著变化，而第二个5年期包括显著增加。10年后，观察到更显著的增长。LPA值没有显示任何显着差异之间的HD亚组，但10年后，可以观察到一个显着的渐进式增加。结论：HD患者的牙齿和牙周健康状况较差，并随着透析时间的推移变得更糟。因此，口腔健康维护在这一患者群体中至关重要。
Objective:The purpose of this study was to investigate the dental and periodontal health status of patients on regular hemodialysis (HD) maintenance therapy, and the effect of duration of HD on oral status.Study design:Sixty-eight HD patients and 41 controls were examined. Decayed, Missing or Filled Teeth (DMFT index), plague index (PI), gingival index (GI), Probing pocket depth (PPD) and loss of periodontal attachment (LPA) were examined.Results:Except DMFT index, significant differences were found in the other index values between patients and controls (P < 0.01). Dialysis duration significantly correlated not with DMFT but with the others. Also, DMFT values showed no significant differences between the five HD subgroups. For the PI, GI and PPD values, the first 5-year period revealed no significant variation, whereas the second 5-year period included significant increases. After 10 years, a much more significant increase was observed. The LPA values did not show any significant differences between the HD subgroups, but after 10 years a significant progressive increase can be observed.Conclusions:The dental and periodontal health is poor in HD patients and becomes worse with time on dialysis. Thus, oral health maintenance is of utmost importance in this patient group.