Prevalence of oral infections in chronic kidney disease patients: A cross‐sectional study

Author:

Palmeira Eduarda1,de Liz Pérez‐Losada Flor2,Díaz‐Flores‐García Víctor3ORCID,Segura‐Sampedro Juan J.4,Segura‐Egea Juan J.5ORCID,López‐López José2ORCID

Affiliation:

1. Hospital Geral de Santo António Oporto Portugal

2. Department of Odontostomatology, Faculty of Medicine and Health Sciences (School of Dentistry) University of Barcelona Barcelona Spain

3. Department of Pre‐Clinical Dentistry, Faculty of Biomedical and Health Sciences Universidad Europea de Madrid Madrid Spain

4. General & Digestive Surgery Unit, Hospital Universitario Son Espases, School of Medicine, Health Research Institute of Balearic Islands University of Balearic Islands Palma de Mallorca Spain

5. Department of Stomatology, School of Dentistry University of Seville Seville Spain

Abstract

AbstractObjectivesThe purpose of this investigation was to analyze the prevalence of apical periodontitis (AP) and periodontal disease (periodontitis) (PD) in Chronic kidney disease (CKD) patients in relation to their treatment phase.Subjects and MethodsIn this cross‐sectional study, 188 patients with CKD were divided into two groups: patients without dialysis (WD group, n = 53) and patients on dialysis (DP group, n = 135). Panoramic radiographs were used to diagnose AP. The presence of periodontal disease was evaluated radiographically assessing alveolar bone loss. Student's t‐test, chi‐squared test, and logistic regression analysis were used to determine the significance of differences between groups.ResultsIn the WD group, 55% of patients had at least one tooth with AP, whereas in the DP group 67% had at least one tooth with AP (OR = 2.11; 95% CI = 1.09–4.08; p < 0.05). PD was more prevalent in the DP group (78%) than in the WD group (36%) (OR = 6.26; CI 95% = 3.13–12.52; p < 0.01).ConclusionsOral infections are more prevalent in the advanced stages of CKD. The treatment of PD and AP should be incorporated in the treatment planning of patients with CKD.

Publisher

Wiley

Subject

General Dentistry,Otorhinolaryngology

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