Volume 3, Issue 2 (4-2018)                   J Res Dent Maxillofac Sci 2018, 3(2): 14-23 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alirezaei S, Razeghi E, Rezaie M, Moezi Ghadim N, Sabet Ghadam L. Evaluation of the Prevalence of Oral Manifestations and the Related Factors in Hemodialysis Patients at Selected Hospitals of Tehran Province in 2016. J Res Dent Maxillofac Sci 2018; 3 (2) :14-23
URL: http://jrdms.dentaliau.ac.ir/article-1-202-en.html
1- Assiistant professor, Oral Medicine Dept, Dental Branch of Tehran,
2- Professor of Internal Diseases – Nephrology,
3- Dentist , dr.somayehalirezaei@gmail.com
Abstract:   (3462 Views)
Background and Aim: Halitosis, candidiasis, and metallic taste are some of the oral complications in chronic renal failure patients undergoing dialysis. The aim was to evaluate the prevalence of oral manifestations and the related factors in hemodialysis patients at selected hospitals of Tehran in 2016.
Materials and Methods: This cross-sectional study was performed through observation, examination, interviewing, reviewing the medical records, and completing the information form. Oral manifestations were examined with indices of halitosis, metallic taste, and candidiasis. The presence of each indicator was considered as oral manifestations, and the measurement was standardized and performed by a student under the supervision of the respective professors. The training required for measurements was provided by the supervisor and the advisor. The reliability was measured in a seven-day pilot study. An organoleptic method was used to measure halitosis. The diagnosis of metallic taste and candidiasis was made through interviewing and observation, respectively.
Results: The study was performed on 250 patients (58.8% male and 41.2% female) with the mean age of 59 years (17 to 88 years). The average duration of dialysis was 62 months. Oral manifestations were present in 91.2% of patients. The most common oral manifestation was halitosis (90%), followed by metallic taste (12%), and candidiasis (10.8%). The incidence of candidiasis was higher in older patients and denture wearers (P≥0.05). Halitosis and metallic taste did not relate to the studied factors (P≥0.2 and ≥0.9).
Conclusion: The prevalence of oral manifestations in chronic kidney failure patients undergoing hemodialysis is high. Etiologic studies are recommended to understand the causes and to reduce the complications.
Full-Text [PDF 331 kb]   (1336 Downloads) |   |   Full-Text (HTML)  (721 Views)  
Type of Study: Original article |

1. Bayraktar G, Kurtulus I, Kazancioglu R, Bayramgurler I, Cintan S, Bural C, et al. Oral health and inflammation in patients with end-stage renal failure. Perit Dial Int. 2009 Jul-Aug;29(4):472-9. [DOI:10.1155/2009/159767] [PMID] [PMCID]
2. Atassi F. Oral home care and the reasons for seeking dental care by individuals on renal dialysis. J
3. Contemp Dent Pract 2002 May15;3(2)31-41 [DOI:10.1038/sj.ebd.6400120]
4. Akar H, Akar GC, Carrero JJ, Stenvinkel P, Lidholm B. Systemic Consequences of Poor Oral Health
5. in Chronic Kidney Disease Patients. Clin J Am Soc Nephrol. 2011 Jan;6(1)218-26.
6. De Rossi SS., Glick M. Dental considerations for the patient with renal disease receiving hemodialysis. J Am Dent Assoc. 1996 Feb; 127(2):211-9. [DOI:10.14219/jada.archive.1996.0171] [PMID]
7. Antoniades DZ, Markopoulus AK, Andreadis D, Balaskas I, Patrikalou E, Grekas D. Ulcerativ uremic stomatitis associated with untreated chronic renal failure: report of a case and review of the literature. Oral Surg Oral Med Pathol Oral Radiol Endod. 2006 May;101(5):608-13. [DOI:10.1016/j.tripleo.2005.08.006] [PMID]
8. Davidovich E, Davidovits M, Eidelman E, Schvarz Z, Bimstein E. Pathophysiology, therapy, and oral implications of renal failure in children and adolescents: an update. Pediatr Dent. 2005 Mar-Apr;27(2): 98-106.
9. de la Rosa Garcia E, Mondragon Padilla A, Aranda Romo S, Bustamante Ramirez MA. Oral mucosa symptoms, signs and lesions, in end stage renal disease and non end - stage renal disease diabetic patients. Med Oral Patol Oral Cir Bucal. 2006 Nov 1;11(6):E467-73.
10. Devresse A, Raptis A, Claes AS, Labriola L. A Swelling in the Mouth in a Chronic Hemodialysis Patient. Case Rep Nephrol. 2016;2016:4970702. [DOI:10.1155/2016/4970702] [PMID] [PMCID]
11. Oyetola EO , Owotade FJ, Agbelusi GA, Ftusi OA, Sanusi AA. Oral findings in chronic kidney disease: implications for management in developing countries. BMC Oral Health. 2015 Feb 20;15:24. [DOI:10.1186/s12903-015-0004-z] [PMID] [PMCID]
12. Ramalingam S, Habib SR, Sundar C, Dawas AB, Al-Rashed M, Al-Bader R. Perceptions of dental interns in Saudi Arabia toward implant placement in medically compromised patients. J Educ Health Promot. 2017 Dec 4;6:104. [DOI:10.4103/jehp.jehp_68_17] [PMID] [PMCID]
13. Esmaeeli A, Esmaeeli M, Ebrahimi M, Nasehi A. Association between oral findings and laboratory tests in children and adolescents undergoing dialysis: A cross- sectional study. J Clin Exp Dent. 2018 May 1;10(5):e462-e468.
14. Brunner F, Kurmann M, Fillipi A The correlation of organoleptic and instrumental halitosis measurements. Schweiz Monatsschr Zahnmed. 2010;120(5):402-8.
15. Messadi DV. Oral and nonoral sources of halitosis. J Calif Dent Assoc. 1997 Feb;25(2):127-31.
16. Dangi YS, Soni ML, Namdeo KP. Oral candidiasis: a review. Int J Pharm Pharm Sci. 2010;2(4):36-41.
17. Hummel T, Landis BN, Huttenbrink KB. Smell and taste disorder. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2011;10:Doc04.
18. Vanholder R, Pletinck A, Schepers E, Glorieux G. Biochemical and Clinical Impact of Organic Uremic Retention Solutes: A Comprehensive Update. Toxins (Basel).2018; 10(1): 33. [DOI:10.3390/toxins10010033] [PMID] [PMCID]
19. - Zahed N, Afshar H, Erfanifar A. Early or delayed renal replacement therapy in patients with acute renal failure. Med J Mashhad Univ Med Sci. 2015 Feb;57(9):949-955.
20. Natallia Maroz, Richard Simman.Wound Healing in Patients With Impaired Kidney Function.J Am Coll Clin Wound Spec. 2013; 5(1): 2-7. [DOI:10.1016/j.jccw.2014.05.002] [PMID] [PMCID]
21. Anurag Jain , Debipada Kabi. Severe periodontitis associated with chronic kidney disease. J Indian Soc Periodontol 2013; 17(1): 128-130. [DOI:10.4103/0972-124X.107489] [PMID] [PMCID]
22. Santosh P, Suneet K, Bharati D, Farzan R, Sumita K. Oral manifestations in chronic renal failure patients attending two hospitals in North Karnataka, India. OHDM. 2012 Sep;11(3):100-106.
23. Kaushik A, Reddy SS, Umesh L, Devi BK, Santana N, Rakesh N. Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study. Indian J Nephrol. 2013 Mar-Apr;23(2):125-9. [DOI:10.4103/0971-4065.109421] [PMID] [PMCID]
24. Belazelkovska A, Popovska M, Spasovski G, Belazelkovska Z, Minovska A, Mitic K. Oral changes in patients with chronic renal failure. Romanian J Oral Rehabil. 2013 Apr-Jun:5(2):104-112.
25. Souza CM, Braosi AP, Luczyszyn SM, Casagrande RW, Pecoits-Filho R, Riella MC, et al. Oral health in Brazilian patients with chronic renal disease. Rev Med Chil. 2008 Jun;136(6):741-6. [DOI:10.4067/S0034-98872008000600008] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research in Dental and Maxillofacial Sciences

Designed & Developed by: Yektaweb