Institution: | 1.Dental School of Sobral,Federal University of Sobral,Sobral,Brazil;2.Post-Graduation Program in Health Science, Medical School of Sobral,Federal University of Sobral,Sobral,Brazil;3.Post-Graduation Program in Morphofunctional Sciences, Department of Morphology, Medical School of Fortaleza,Federal University of Ceará,Fortaleza,Brazil;4.Department of Pathology and Legal Medicine, School of Medicine,Federal University of Ceará – UFC,Fortaleza,Brazil |
Abstract: | AimTo perform a comprehensive analysis of the association between periodontal status and end-stage chronic kidney disease (ESCKD).Subjects and methodsForty-five ESCKD and 26 healthy patients were clinically evaluated. The visible plaque index (VPI), gingival bleeding index (GBI) and community periodontal index were obtained from all patients. In addition, the association among gingivitis, increased probing depth, clinical attachment loss and edentulism with ESCKD was statistically assessed (chi-square test, p < 0.05). An additional Student’s t-test (p < 0.05) was performed to evaluate the differences in VPI and GBI between both groups of patients.ResultsESCKD was strongly associated with gingivitis (p = 0.002, OR = 8.76, 95% CI = 1.84-41.71), increased probing depth (p < 0.001, OR = 17.44, 95% CI = 4.14-72.33), clinical attachment loss (p < 0.001, OR = 5.59, 95% CI = 3.00-10.41) and edentulism (p = 0.013, OR = 1.95, 95% CI = 1.14-3.35). Moreover, patients with ESCKD had increased VPI and GBI (p < 0.05) compared to healthy individuals.ConclusionWithin the limits of this study, it was concluded that ESCKD patients showed greater plaque accumulation and a higher risk of presenting periodontal diseases compared to healthy subjects. |