Caracterización en salud oral y hábitos de higiene oral en pacientes con enfermedad renal crónica

objective: to establish the oral health condition of patients with chronic kidney disease (ckd) who received care in a center for renal therapy, as well as its relationship with nutritional and inflammatory markers and doses of erythropoietin received. patients: patients with chronic kidney disease treated at rts caldas, in the following programs: predialysis, post-renal transplant, hemodialysis, and peritoneal dialysis. all these patients had attended any of these programs uninterruptedly for at least three months; they agreed to participate in the study and had the necessary laboratory studies, as well as registered doses of erythropoietin. methods: three hundred thirty-six patients met the inclusion criteria: 24 (7%) in predialysis, 164 (49%) in hemodialysis, 114 (34%) in pd and 34 (10%) in post-renal transplant. the following demographic data were established and assessed: silness and loe plaque indices (oral health) and loe and silness gingival indices, caries experience in decayed-missing-filled teeth index (dmft) and stomatologic diagnosis. additionally, laboratory reports were recorded indicating the infammation state of the patients: albumin, ferritin, transferrin saturation and erythropoietin dosage. results: pre-dialysis and post-renal transplant populations did not give sufficient information to be included in the statistical analysis. the following information was obtained from dialysis patients: 63% had good oral hygiene, 33% fair, and only 3% had poor oral hygiene. the prevalence of periodontal disease was high, affecting 75% of patients. severe gingivitis was present in 35-38% of patients. the dmft index showed a high prevalence of caries. no relationship was found between laboratory results for infammatory markers, periodontal health, and doses of erythropoietin. conclusions: the oral hygiene of dialysis patients is satisfactory. however, they have a high prevalence of periodontal disease and tooth decay. this suggests that factors related to the ur