ORAL MANIFESTATIONS IN 50 PATIENTS WITH CHRONIC KIDNEY DISEASE ON HEMODIALYSIS: CLINICAL AND SALIVARY ANALYSIS

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e261
• Main Authors: MEDEIROS, MAURíLIA RAQUEL DE SOUTO, CARDOSO, LANA KAREN AVELINO, OLIVEIRA, PATRíCIA TEXEIRA DE, SILVEIRA, ÉRICKA JANINE DANTAS DA
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.698

Objectives: To characterize the oral health of patients with chronic kidney disease (CKD) by evaluating salivary flow, pH, and salivary buffering capacity, oral aspects, gingival bleeding, calculus, index of decay, and missing and filled teeth. Study Design: The present cross-sectional, observational, analytical study reviewed the clinical and demographic data of patients with CKD (n = 50) and compared this data with those who do not have CKD (n = 20). The χ2 test and Fisher exact test was used for association between categorical variables. The Mann-Whitney U test was applied to compare the groups. The level of significance was set at 5%. Results: A total of 56% of patients presented with breath uremic, 69.5% had visible dental calculi, and 26% had another lesion. There was a statistically significant difference between salivary flow and pH in the group with CKD and the control group, but there was not a significant difference in buffering capacity. Conclusion: Oral conditions of the patients were considered precarious, which must be minimized, because these patients are potential transplant candidates. Therefore, having a dentist on the team assisting patients with CKD is paramount.