Estado dental y periodontal en pacientes con insuficiencia renal crónica. Serdidyv S.A, 2018.

Abstract

Introduction: Chronic renal failure (CRF) is a disease of multiple etiology in which chronic deterioration of the nephron occurs. Patients in stage 5 renal failure, need to receive hemodialysis. In some cases, dental and gingival manifestations in the oral cavity may occur, as well as periodontal disease. Objective: To evaluate the dental and periodontal status in patients with chronic renal failure. Materials and Methods: A cross-sectional, descriptive and observational study was carried out. We worked with a sample of 119 patients who went to the Hemodialysis Serdidyv SA clinic to receive dialysis treatment. Patients within the range of 18 to 65 years were included. In 2018, an intraoral clinical examination was carried out in which the degree of oral hygiene was evaluated, dental manifestations were observed such as: dental caries, dental erosion, dental mobility; and gingival manifestations such as: gingival enlargement, gingival pallor and gingival recessions. In addition, the state of periodontal disease in the presence of gingivitis or periodontitis was evaluated. Results: The degree of bad oral hygiene was evidenced in 49% and only 6% of the patients maintained an optimal oral hygiene. Of 1819 dental pieces evaluated, 904 pieces had decay. Dental erosion manifested in 68% and gingival enlargement represented only 3%. About periodontal disease, gingivitis occurred in 97% and periodontitis with 82% of the patients examined. Conclusion: Poor oral care, hemodialysis treatment and kidney disease itself are triggers of some type of dental, gingival or periodontal disease manifestation.