ASSOCIATION OF ORAL PATHOLOGIES AND DETERIORATION OF ORAL HEALTH STATUS IN END STAGE RENAL DISEASE PATIENTS ADMITTED IN SHARIF MEDICAL AND DENTAL COLLEGE, LAHORE

Abstract

Objective: To compare status of oral health in patients with End stage renal disease to disease free individuals and to assess their periodontal treatment needs.

Material & Methods: A Cross sectional comparative study was conducted on 58 patients with End stage renal disease and 58 renal disease-free controls over a period of one year. Data collection was based on the following parameters: Community Periodontal Index of Treatment Needs (CPITN) and Decayed Missing and Filled index (DMFT). The data was analyzed using IBM SPSS Statistics 23. P value ≤ 0.05was taken as significant.

Results: There was found to be significant association between periodontal health and the status of disease (healthy individuals in comparison to end stage renal disease) (p=0.001). The CPITN score for patients with End stage renal disease was higher than that for disease free individuals. The mean DMFT score of end stage renal disease patients was higher than that for disease free individuals. There was a significant association between the status of oral health of renal disease patients and renal disease-free patients (p≤0.001).

Conclusion: Individuals with a healthy periodontium were greater in number in patients with ESRD as compared to disease free individuals. Periodontal pocket depths of 6 mm or more were found only in ESRD patients. Majority of patients with ESRD had high DMFT score as compared to disease free individuals. It was also seen that the periodontal treatment needs for complex treatment, scaling and prophylaxis along with oral hygiene instructions required by patients with ESRD was more in comparison to kidney disease free individuals.

Key Words: Community periodontal index for treatment needs (CPITN), DMFT index (Decayed, Missing, Filled teeth), End stage renal disease (ESRD), Chronic kidney disease (CKD), C-reactive protein (CRP).