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http://hdl.handle.net/2445/127696
Title: | Oral symptoms and oral health in patients with chronic kidney disease |
Author: | Gomes do Nascimento, Maria Auxiliadora Marqués Soares, Maria Sueli Chimenos Küstner, Eduardo Monteiro Dutra, Dasaiev Lopes Cavalcanti, Raquel |
Keywords: | Malalties del ronyó Higiene bucal Malalties de la boca Trasplantament d'òrgans Malalts crònics Kidney diseases Oral hygiene Mouth diseases Transplantation of organs Chronically ill |
Issue Date: | Jul-2018 |
Publisher: | Faculdade São Leopoldo Mandic |
Abstract: | Objective: this prospective follow-up cohort study analyzed chronic kidney disease (CKD) patients' oral symptoms, health habits, and oral health-related quality of life (OHRQoL), from predialysis to posttransplantation. A simplified questionnaire method (Oral Health Quality Score, OHQS), based on these and clinical findings, was constructed and tested for identifying patients in need for referral to a dentist. Material and methods: fifty-three CKD patients were followed up for a mean of 10.3 years. Clinical oral, radiological, and salivary examination was performed at baseline and posttransplantation. Total Dental Index (TDI) indicating inflammation was calculated. The patients filled out a questionnaire on symptoms, oral hygiene and health care habits, smoking, alcohol use, and medication. General health-related quality of life was assessed with the 15-dimensional (15D) instrument at posttransplantation. Descriptive and analytical methods were used in statistics. Results: OHQS significantly correlated with high TDI (p = 0.017), number of teeth (p = 0.031), and unstimulated salivary flow rate (p = 0.001) in transplanted patients. Number of daily medications showed a negative correlation with the OHQS (r = - 0.30; p = 0.028). The prevalence of oral symptoms was slightly, but not significantly, more common posttransplantation compared with predialysis stage. Conclusion: OHQS identified patients with high oral inflammatory score thus confirming our study hypothesis. Clinical relevance: use of OHQS and measuring salivary flow indicate patients at risk for oral diseases. These markers might be easy to use chair-side also by auxiliary personnel. |
Note: | Reproducció del document publicat a: https://doi.org/10.1590/1981-863720180002000093436 |
It is part of: | Revista Gaúcha de Odontologia, 2018, vol. 66, num. 2, p. 160-165 |
URI: | http://hdl.handle.net/2445/127696 |
Related resource: | https://doi.org/10.1590/1981-863720180002000093436 |
ISSN: | 1981-8637 |
Appears in Collections: | Articles publicats en revistes (Odontoestomatologia) |
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