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Prevalence of Periodontitis in Patients Undergoing Hemodialysis: a Case Control Study

Ali Ghareeb Altamimi, Saud Alnouri AlBakr, Thamer Alaswad Alanazi, Faleh A. Alshahrani, Elna Paul Chalisserry, Sukumaran Anil.


Objectives: To assess the prevalence of periodontal disease among patients undergoing renal dialysis. Methods: Sixty hemodialysis patients (30 males, 30 females) with a mean age of 44.4±9.5 years comprised the study group. Periodontal parameters such as plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment level (CAL) were measured in these patients and 60 age and sex-matched control subjects. The data was tabulated and analyzed. Results: The mean duration of dialysis was 5.50±3.02 years. The plaque index (PI) bleeding on probing (BOP), Periodontal probing depth (PPD) and clinical attachment level (CAL) were significantly higher in patients undergoing hemodialysis than in control subjects. The mean clinical attachment level was significantly higher among the dialysis patients (2.78±0.83 mm) than the control subjects (1.97±0.53 mm). The plaque index and bleeding on probing also showed a similar pattern in patients undergoing hemodialysis compared to control patients. The prevalence and severity of periodontal disease seems to be higher in patients undergoing dialysis. Conclusion: From the observations of this study, it can be concluded that patients undergoing hemodialysis are more prone to periodontal diseases. Further studies with a larger population and a comparison with the duration of dialysis may further substantiate the current findings.

Key words: Renal Dialysis, Periodontal Diseases, Oral Hygiene, Periodontal Pocket, Dental Plaque Index, Gingival Recession.

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