Estado de la salud oral en pacientes con enfermedad renal crónica en estadio 5 hemodializados

Abstract

SUMMARY Objectives: Analyze the state of oral health, periodontal, xerostomia and sialopenia, and the level of anxiety-depression and quality of life in patients with chronic kidney disease (CKD) stage 5 on hemodialysis compared with a healthy control group. Methodology: Sample of 120 patients patients with stage 5 CKD on hemodialysis Fresenius Medical Care¿ satellite centers and 120 healthy control subjects. Were studied: periodontal characteristics such as number of teeth, bleeding index, CPTIN, NIC, probing depth, periodontal disease classification and xerostomia, sialometry, profile of oral health impact (OHIP14) and anxiety-depression scale hospital. Results: Patients with stage 5 CKD had a lower number of teeth in the mouth, and bleeding rates, CPTIN, clinical attachment level and probing depth and percentage of patients with severe periodontitis higher than the control group with statistically significant differences (p <0.001). Patients with CKD stage 5 showed higher symptoms of xerostomia and oral manifestations that control with statistically significant differences for speech difficulties (p = 0.002), dry throat sensation(p = 0.040), dry tongue sensation ( p = 0.001), swallowing difficulties, dry mouth sensation and thirst level (p <0.001). The sialometry in the group of chronic renal patients was much lower than in the control group with statistically significant differences (p <0.001). The quality of life related to oral health was worse in patients with CKD stage 5 when compared with the control group, with statistically significant differences (p = 0.042). Patients with stage 5 CKD had higher levels of anxiety and depression than the control group, with statistically significant differences from the depression (p <0.001). Conclusions: Patients with stage 5 CKD on hemodialysis have worse periodontal status, quality of life and anxiety-depression than the control patients, xerostomia is also increased and the level of minor salivary flow control patients.