Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation

BMC Oral Health

Research Article

Gerhard Schmalz¹  Dirk Ziebolz¹  Rainer Haak¹  Anne Kauffels²  Otto Kollmar³  Jan E. Slotta⁴  Radovan Vasko⁵  Gerhard A. Müller⁵ 

[1] Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103, Leipzig, Germany;Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany;Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany;Present address: Department of General and Visceral Surgery, HELIOS Dr. Horst Schmidt-Kliniken, Wiesbaden, Germany;Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany;Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert, Germany;Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany;

关键词: Dental care;    Hemodialysis;    Kidney transplantation;    Oral health;    Oral hygiene;   

DOI  :  10.1186/s12903-016-0274-0

 received in 2016-02-09, accepted in 2016-06-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT).MethodsPatients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s t-test or Mann–Whitney-U-test, Fisher’s exact test (α = 5 %).ResultsA total of 70 patients (HD: n = 35, KT: n = 35) with a mean age of 56.4 ± 11.1 (HD) and 55.8 ± 10.9 (KT) years were included. Lack in use of additional oral hygiene (dental floss, inter-dental brush) was found. KT group presented significantly more gingivial overgrowth (p = 0.01). DMF-T was 19.47 ± 5.84 (HD) and 17.61 ± 5.81 (KT; p = 0.21). Majority of patients had clinically moderate and severe periodontitis; showing a need for periodontal treatment of 57 % (HD) and 71 % (KT; p = 0.30). Significantly higher prevalence of Parvimonas micra and Capnocytophaga species in the HD group were found (p < 0.01).ConclusionPeriodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. Regarding microbiological findings, no major differences between KT and HD patients were found.

【 授权许可】

CC BY   
© The Author(s). 2016