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Gingivitis, increased probing depth, clinical attachment loss and tooth loss among patients with end-stage chronic kidney disease: a case-control study

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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… Click to show full 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.

Keywords: probing depth; clinical attachment; attachment loss; increased probing; gingivitis; loss

Journal Title: Journal of Public Health
Year Published: 2017

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