Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital
- Author:
Hanim Afzan Ibrahim
;
Nur Karyatee Kassim
;
Fatimah Zahra Jamsari
;
Siti Lailatul Akmar Zainuddin
;
Muhammad Hafiz Hanafi
;
Azreen Syazril Adnan
- Publication Type:Journal Article
- Keywords:
chronic kidney disease;
chronic periodontitis;
periodontal health;
pre-dialysis
- From:Malaysian Journal of Medical Sciences
2020;27(1):106-114
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Chronic kidney disease (CKD) is associated with periodontal disease due to
its hyperinflammatory state. Limited studies have explored the prevalence of periodontal disease
among CKD patients in Malaysia.
Objective: To assess the periodontal status of pre-dialysis CKD patients in Hospital
Universiti Sains Malaysia.
Methods: A total of 46 pre-dialysis CKD patients who attended the nephrology clinic
at Hospital Universiti Sains Malaysia were enrolled in this study. Periodontal examination was
performed using the periodontal probing depth (PPD), clinical attachment loss (CAL) and plaque
index.
Results: The majority of the CKD patients were Malay (95.7%) and 80.4% were males.
The mean age of the patients was 58.5 years. Using PPD measurement, 37 (74.0%) of the patients
had mild periodontitis, 9 (20.0%) had moderate periodontitis and 3 (6.0%) had no periodontitis.
Based on CAL measurement, 12 (26%) patients had mild periodontitis, 29 (63.0%) had moderate
periodontitis and 5 (11%) had severe periodontitis. The mean (standard deviation [SD]) value
of mild and moderate-to-severe periodontitis by PPD measurement were 4.26 (0.26) and 5.24
(0.36), respectively. The mean of mild and moderate-to-severe periodontitis by CAL measurement
were 2.66 (0.62) and 4.98 (0.73), respectively. There was no correlation between the periodontal
parameters and estimated glomerular filtration rate (PPD: r = −0.160, P = 0.914; CAL: r = −0.135,
P = 0.372; plaque index: r = 0.005, P = 0.974).
Conclusion: This study revealed a greater prevalence and severity of chronic periodontitis
among CKD patients. Thus, the periodontal health of CKD patients’ needs to be screened and
monitored.
- Full text:3.2020my0844.pdf
