Prevalencia de enfermedad periodontal en pacientes adultos con enfermedad renal crónica en el centro de diálisis Serdidyv, Guayaquil 2026.

Abstract

Introduction: Periodontitis is a chronic inflammatory disease induced by microorganisms that affects the supporting apparatus of the teeth. Periodontal disease and poor oral hygiene severely aggravate Chronic Kidney Disease, accelerating systemic damage and compromising patient survival.Objective: To evaluate the periodontal status using the PSR index and to characterize the clinical and sociodemographic factors of adult patients with chronic kidney disease undergoing hemodialysis at the Serdidyv dialysis center, Guayaquil, 2026.Materials and Methods: A quantitative, clinical, cross-sectional, and observational-descriptive study was conducted on a sample of 62 patients with chronic kidney disease. Periodontal status was evaluated using the Periodontal Screening and Recording (PSR) index. Results: Patients with chronic kidney disease undergoing hemodialysis presented a variable distribution of periodontal status evaluated through the maximum PSR code. Age, time on hemodialysis, and sex showed no statistically significant differences with the PSR. In contrast, a higher brushing frequency was significantly associated with lower PSR codes. Conclusions: Diabetes mellitus and arterial hypertension constitute the predominant systemic comorbidities in patients with chronic kidney disease. Evaluation of periodontal status using the PSR index showed a distribution predominantly concentrated between codes 0 and 3. Oral hygiene is confirmed as a determining factor, as a statistically significant correlation was identified between daily brushing frequency and the maximum PSR code.