Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment

Loss of kidney function causes oral manifestations and multiple complications that have implications for dental treatment and patients’ systemic conditions. We aimed to determine the clinical condition, epidemiological profile, and incidence of dental caries in patients with chronic kidney disease (...

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Main Authors: Daniel Furtado Silva, Inngryd Christine Ramos Oliveira, Sivanilson de Assis Medeiros, Fernando Martins Baeder, Ana Carolina Lyra de Albuquerque, Edeltrudes de Oliveira Lima
Format: Article
Language:English
Published: Springer 2024-02-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S101390522300250X
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author Daniel Furtado Silva
Inngryd Christine Ramos Oliveira
Sivanilson de Assis Medeiros
Fernando Martins Baeder
Ana Carolina Lyra de Albuquerque
Edeltrudes de Oliveira Lima
author_facet Daniel Furtado Silva
Inngryd Christine Ramos Oliveira
Sivanilson de Assis Medeiros
Fernando Martins Baeder
Ana Carolina Lyra de Albuquerque
Edeltrudes de Oliveira Lima
author_sort Daniel Furtado Silva
collection DOAJ
description Loss of kidney function causes oral manifestations and multiple complications that have implications for dental treatment and patients’ systemic conditions. We aimed to determine the clinical condition, epidemiological profile, and incidence of dental caries in patients with chronic kidney disease (CKD). This was an observational, cross-sectional, field study using a quantitative and epidemiological approach. The sample consisted of 45 randomly selected patients with CKD from a total of 114 patients. Data were collected through oral clinical examination, anamnesis, and medical records compiled in a clinical file specially developed for this research. Clinical evaluation was performed, including a Decayed, Missing, and Filled Teeth (DMFT) index examination. Data were analyzed using the Shapiro–Wilk test, Mann–Whitney test, and Spearman's rho coefficient. All analyses were performed using IBM SPSS Statistics software version 20.0, with a confidence interval of 95 % and significance level of 5 % (p < 0.05). The results indicated that CKD is more prevalent in the 5th decade of life, with a slight predilection for men. Oral cavity alterations were observed in 77.8 % of patients. The study population had a very high DMFT index, with a high number of missing teeth and a low number of decayed and filled teeth. Poor oral health in patients with CKD indicates a lack of care that supports the necessity of installing a preventive and therapeutic oral program and a regular follow-up aimed at this group of patients.
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spelling doaj-art-e9479e2ce6ae4e6586dbeec8fa1285082025-08-20T03:24:37ZengSpringerSaudi Dental Journal1013-90522024-02-0136236436710.1016/j.sdentj.2023.11.026Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessmentDaniel Furtado Silva0Inngryd Christine Ramos Oliveira1Sivanilson de Assis Medeiros2Fernando Martins Baeder3Ana Carolina Lyra de Albuquerque4Edeltrudes de Oliveira Lima5Postgraduate Program in Dentistry, Federal University of Paraíba, João Pessoa, Paraíba, Brazil; Corresponding author at: Rua Cassimiro de Abreu, 36, Residencial Attale. Bairro: Brisamar. João Pessoa, Paraíba, Postal code: 58.033-330, Brazil.Academic Unit of Biological Sciences, Federal University of Campina Grande, Patos, Paraíba, BrazilAcademic Unit of Biological Sciences, Federal University of Campina Grande, Patos, Paraíba, BrazilDentistry Department, Cruzeiro do Sul University, São Paulo, São Paul, BrazilDepartment of Clinical and Social Dentistry, Federal University of Paraíba, João Pessoa, Paraíba, BrazilPostgraduate Program in Dentistry, Federal University of Paraíba, João Pessoa, Paraíba, BrazilLoss of kidney function causes oral manifestations and multiple complications that have implications for dental treatment and patients’ systemic conditions. We aimed to determine the clinical condition, epidemiological profile, and incidence of dental caries in patients with chronic kidney disease (CKD). This was an observational, cross-sectional, field study using a quantitative and epidemiological approach. The sample consisted of 45 randomly selected patients with CKD from a total of 114 patients. Data were collected through oral clinical examination, anamnesis, and medical records compiled in a clinical file specially developed for this research. Clinical evaluation was performed, including a Decayed, Missing, and Filled Teeth (DMFT) index examination. Data were analyzed using the Shapiro–Wilk test, Mann–Whitney test, and Spearman's rho coefficient. All analyses were performed using IBM SPSS Statistics software version 20.0, with a confidence interval of 95 % and significance level of 5 % (p < 0.05). The results indicated that CKD is more prevalent in the 5th decade of life, with a slight predilection for men. Oral cavity alterations were observed in 77.8 % of patients. The study population had a very high DMFT index, with a high number of missing teeth and a low number of decayed and filled teeth. Poor oral health in patients with CKD indicates a lack of care that supports the necessity of installing a preventive and therapeutic oral program and a regular follow-up aimed at this group of patients.http://www.sciencedirect.com/science/article/pii/S101390522300250XKidney DiseaseRenal DialysisOral Manifestations
spellingShingle Daniel Furtado Silva
Inngryd Christine Ramos Oliveira
Sivanilson de Assis Medeiros
Fernando Martins Baeder
Ana Carolina Lyra de Albuquerque
Edeltrudes de Oliveira Lima
Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
Saudi Dental Journal
Kidney Disease
Renal Dialysis
Oral Manifestations
title Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
title_full Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
title_fullStr Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
title_full_unstemmed Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
title_short Oral health challenges in patients with chronic kidney disease: A comprehensive clinical assessment
title_sort oral health challenges in patients with chronic kidney disease a comprehensive clinical assessment
topic Kidney Disease
Renal Dialysis
Oral Manifestations
url http://www.sciencedirect.com/science/article/pii/S101390522300250X
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