Advances in Clinical and Experimental Medicine
2017, vol. 26, nr 5, August, p. 777–780
Publication type: original article
The assessment of prosthetic needs of ESRD patients and the general population in Poland on the basis of the Eichner classification and teeth number: A brief, preliminary report
1 Department of Prosthetic Dentistry, Wroclaw Medical University, Poland
2 Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland
Background. End-stage renal disease (ESRD) patients are considered as a group of high risk of oral cavity diseases. One of the determinants of alveolar bone loss and increased teeth mobility in ESRD patients might be the bone abnormalities associated with chronic kidney disease-mineral and bone disorder (CKD-MBD).
Objectives. The aim of the study was to compare the general health condition, number and location of teeth in a group of ESRD patients with the group of peers from general population and revealing the risk factors of tooth loss.
Material and Methods. The ESRD group included 63 patients, 23 females and 40 males, undergoing dialysis with a mean age of 62.4 ± 15.6. The general population sample consisted of 37 people, 20 females and 17 males, applying for general practitioner visit, with a mean age of 65.5 ± 11.1. All the participants were using just public health care insurance. The data analysis was based on anamnesis, history of CKD, selected biochemical parameters of blood tests and clinical examination.
Results. There was no statistical difference in the prosthetic needs of patients undergoing dialysis and the general population. In both groups the situation is alarming.
Conclusion. The new procedures are needed to develop complex health care for ESRD and general population patients, emphasizing prophylaxis of tooth-loss and prosthetic treatment in order to maintain good level of life quality.
general population, prosthetic needs, Eichner classification, teeth number, ESRD
- Dirschnabel AJ, Martins Ade S, Dantas SA, et al. Clinical oral findings in dialysis and kidney-transplant patients. Quintessence Int. 2011;42:127–133.
- Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Work Group: KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int Suppl. 2009;113:1–130.
- Ghosh B, Brojen T, Banerjee S, et al. The high prevalence of chronic kidney disease-mineral bone disorders: A hospital-based cross-sectional study. Indian J Nephrol. 2012;22:285–291.
- Nickolas TL, Stein EM, Dworakowski E, et al. Rapid cortical bone loss in patients with chronic kidney disease. J Bone Miner Res. 2013;28:1811–1820.
- Messier MD, Emde K, Stern L, et al. Radiographic periodontal bone loss in chronic kidney disease. J Periodontol. 2012;83:602–611.
- Frankenthal S, Nakhoul F, Machtei EE, et al. The effect of secondary hyperparathyroidism and hemodialysis therapy on alveolar bone and periodontium. J Clin Periodontol. 2002;29:479–483.
- Sokal RR, Rohlf FJ. The principles and practices of statistics in biological research. 3rd ed. New York, NY: W.H. Freeman; 1995:887.
- Cengiz MI, Sümer P, Cengiz S, et al. The effect of the duration of the dialysis in hemodialysis patients on dental and periodontal findings. Oral Dis. 2009;15:336–341.
- Brito F, Almeida S, Figueredo CM, et al. Extent and severity of chronic kidney disease patients. J Periodontal Res. 2012;47:426–430.
- Castillo A, Mesa F, Liébana J, et al. Periodontal and oral microbiological status of an adult population undergoing haemodialysis. Oral Dis. 2007;13:198–205.
- Bots CP, Poorterman JHG, Brand HS, et al. The oral health status of dentate patients with chronic renal failure undergoing dialysis therapy. Oral Dis. 2006;12:176–180.
- Bayraktar G, Kurtulus I, Kazancioglu R, et al. Oral health and inflammation in patients with end-stage renal failure. Perit Dial Int. 2009;29:472–479.
- Kanjanabuch P, Sinpitaksakul P, Chinachatchawarat S, et al. Oral and radiographic findings in patients undergoing continuous ambulatory peritoneal dialysis. J Med Assoc Thai. 2011;94(Suppl 4):106–112.
- Brennan DS, Spencer AJ, Roberts-Thomson KF. Tooth loss, chewing ability and quality of life. Qual Life Res. 2008;17:227–235.
- Inukai M, John MT, Igarashi Y, et al. Association between perceived chewing ability and oral health-related quality of life in partially dentate patients. Health Qual Life Outcomes. 2010;8:118.
- Musacchio E, Perissinotto E, Binotto P, et al. Tooth loss in elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontol Scand. 2007;65:78–86.
- Wilczyńska-Borawska M, Małyszko J, Cylwik-Rokicka D, et al. Prosthetic status and treatment needs for lost masticatory function in haemodialysis patients. Arch Med Sci. 2012;8:81–87.
- Cunha FL, Tagliaferro EP, Pereira AC, et al. Oral health of a Brazilian population on renal dialysis. Spec Care Dentist. 2007;27:227–231.