PREVALENCE OF ORAL LESIONS, AND PLAQUE, GINGIVAL, MARGINAL LINE CALCULUS INDEX AND PROBING DEPTH IN PATIENTS UNDER DIALYSIS AND KIDNEY TRANSPLANTS / Prevalência das manifestações bucais e dos índices de placa, gengival, de ocupação marginal e profundidade de sondagem em pacientes sob diálise e transplantados renais

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

Chronic renal failure (CRF) is a renal structural alteration which implies in the reduction or limitation of the kidney ability glomerular filtration. The CRF treatment includes hemodialysis or peritoneal dialysis to substitute glomerular filtration while a renal transplant, which is a definitive treatment, can be done. Oral lesions and secondary periodontal alterations to the CRF, or related to the immunosupressor therapy after the transplant, are frequently reported in the literature. The aim of this study was to compare patients who were under dialysis and those that had been treated with kidney transplant clinically evaluating the oral tissue and the support structures and the periodontal condition. The sample was composed by 79 subjects, 46 treated with dialysis (DL) and 33 kidney transplanted (KT) that were assisted by the Pró-Renal Foundation (Curitiba-PR). The interview was done using a standard questionnaire where the following data was noted: drugs and their daily posology; information about their general health; smoking habits, blood pressure and heart beating. At the extra oral clinical exam was taken the visual accuracy, facial symmetry, palpation exam, temporo mandibular joint and mouth opening. The intra oral exam was performed based on World Health Organization, (1980). Oral lesions were clinically or histologically diagnosed and, when necessary, treated. Periodontal evaluation was performed using the plaque index (PI), gingival index (GI), marginal line calculus index (MLC) and probing depth (PD) and marginal line calculus index (CI), being excluded those patients that had less than ten teeth. To evaluate the prevalence of each oral lesion in the different groups, it was used the Fischer Exact test (p≤0,05) and to compare the periodontal variables among the groups was applied the U of Mann-Whitney non-parametric test (p≤0,05). Among the 30 different oral lesions in each group, the results were statistically significant for the metallic taste at the DL group and for the gingival growth at the KT group. The average of the plaque index and the presence of the calculus were statistically greater at the DL group. It was concluded that characteristic oral lesion of those patients under dialysis was the metallic taste, and for the other group it was the gingival growth. Patients who presented kidney transplant had a better oral hygiene than those under dialysis even though the severity of the periodontal disease was similar in both groups.

ASSUNTO(S)

boca - doenças medicina oral insuficiência renal crônica diálise peritoneal periodontite odontologia

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