Flujo salival y salud bucal en pacientes hemodializados.

Abstract

INTRODUCTION: Saliva fulfills regulatory and protective functions of the oral cavity; when altered, it could cause an imbalance, causing your health to decline. In turn, patients with CKD under hemodialysis treatment suffer from biochemical changes that could alter salivary flow, both in volume, pH, and buffer capacity, salivary parameters that maintain balance in the mouth and are necessary for an oral environment. OBJECTIVE: to analyze the relationship between salivary flow and oral health status in hemodialysis patients who attend the Renal Foundation of Ecuador. MATERIALS AND METHODS: Longitudinal descriptive study, where 33 participants were obtained under inclusion and exclusion criteria from a universe of 78 patients. An oral examination and saliva sample collection were performed before and after hemodialysis. RESULTS: The values represented as mean before and after hemodialysis were; for salivary flow volume 0.44 ml/min and 0.43ml/min, pH of 7.6 and 7.9, buffer capacity 6.7 and 6.6, the CPO index 4.72 points, and 51.57% of bacterial plaque level. CONCLUSION: By not finding significant correlations and observing poor oral health, we can conclude that the oral health of the patient with CKD is not being affected by the hemodialysis treatment, but there are other factors such as coexisting diseases that could have a greater relationship to it. As well as lack of knowledge of oral hygiene techniques.