Quality of life and periodontal health of patients submitted to hemodialysis / Qualidade de vida relacionada a saúde bucal de pacientes submetidos a hemodiálise

Gabriela Kauana Vieira de Holanda, Maria Gabriela Lima Cordeiro de Castro, Ana Regina Oliveira Moreira, Priscylla Gonçalves Correia Leite de Marcelos, Valdeci dos Santos Junior, Cristine D’Almeida Borges


Objective: to evaluate quality of life for periodontal health in patients undergoing hemodialysis at Hospital Vida in Maceió, Alagoas, Brazil. Methods: After examination by Research Ethics Committee of Centro Universitário Tiradentes - AL, participants included through convenience sample method, found in hemodialysis at Hospital Vida. General health information, level of education, number of teeth, use of prostheses and periodontal clinical methods were collected through probing. To analyze impact of oral health on quality of life, the Oral Health Impact Profile (OHIP-14) questionnaire was used. Data were analyzed using arithmetic mean. The OHIP-14 answers received a score that were multiplied by specific weight of each question. The results were grouped and presented by descriptive analysis. Results: 126 participants with a mean age of 52.8 years were included. Among them, 78 (61.9%) men and 48 (38%) women. The mean number of teeth was 15.9 and, at periodontal probing, mean probing depth of 2.6 mm and clinical attachment level of 1.9 mm were observed. Final code OHIP-14 mean was 9.53. Conclusions: After results evaluation, it was possible to observe occurrence of periodontitis in participants, high rates of unsatisfactory dental prostheses, as well as low impact of quality of life in relation to number of teeth and school level.


Quality of life, Periodontitis, Hemodialysis, Chronic kidney disease

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Chopra, A. and K. Sivaraman, An update on possible pathogenic mechanisms of periodontal pathogens on renal dysfunction. Crit Rev Microbiol, 2019: p. 1-25.

Pallos, D., et al., Salivary markers in patients with chronic renal failure. Arch Oral Biol, 2015. 60(12): p. 1784-8.

Proctor, R., et al., Oral and dental aspects of chronic renal failure. J Dent Res, 2005. 84(3): p. 199-208.

Kim, Y.J., et al., Evaluation of periodontal condition and risk in patients with chronic kidney disease on hemodialysis. Einstein (Sao Paulo), 2017. 15(2): p. 173-177.

Miyata, Y., et al., Periodontal Disease in Patients Receiving Dialysis. Int J Mol Sci, 2019. 20(15).

Palmer, S.C., et al., Patterns of oral disease in adults with chronic kidney disease treated with hemodialysis. Nephrol Dial Transplant, 2016. 31(10): p. 1647-53.

Armitage, G.C., Development of a classification system for periodontal diseases and conditions. Ann Periodontol, 1999. 4(1): p. 1-6.

Caton, J.G., et al., A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol, 2018. 89 Suppl 1: p. S1-S8.

Socransky, S.S. and A.D. Haffajee, The Bacterial Etiology of Destructive Periodontal Disease: Current Concepts. J Periodontol, 1992. 63 Suppl 4S: p. 322-331.

Reissmann, D.R., et al., Association between perceived oral and general health. J Dent, 2013. 41(7): p. 581-9.

Slade, G.D. and A.J. Spencer, Development and evaluation of the Oral Health Impact Profile. Community Dent Health, 1994. 11(1): p. 3-11.

ALMEIDA, A., LOUREIRO, CA, ARAÚJO, VE., Um estudo transcultural de valores de saúde bucal utilizando o instrumento OHIP-14 (Oral Health Impact Profile) na forma Simplificada. UFES Rev Odontol, 2004. 6.

Slade, G.D., Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology, 1997. 25(4): p. 284-290.

Ruokonen, H., et al., Oral Health and Mortality in Patients With Chronic Kidney Disease. Journal of Periodontology, 2017. 88(1): p. 26-33.

Gupta, R., et al., Comparative Evaluation of Periodontal Status of Chronic Renal Failure Patients and Systemically Healthy Individuals. J Contemp Dent Pract, 2018. 19(3): p. 324-330.

Kshirsagar, A.V., et al., Antibodies to periodontal organisms are associated with decreased kidney function. The Dental Atherosclerosis Risk In Communities study. Blood Purif, 2007. 25(1): p. 125-32.

Grubbs, V., et al., The Kidney and Periodontal Disease (KAPD) study: A pilot randomized controlled trial testing the effect of non-surgical periodontal therapy on chronic kidney disease. Contemp Clin Trials, 2017. 53: p. 143-150.

Ruospo, M., et al., Periodontitis and early mortality among adults treated with hemodialysis: a multinational propensity-matched cohort study. BMC Nephrol, 2017. 18(1): p. 166.

Petry, J., A.C. Lopes, and K. Cassol, Autoperception of food conditions of elderly dental prosthetic users. Codas, 2019. 31(3): p. e20180080.

Pakpour, A.H., et al., A case-control study on oral health-related quality of life in kidney disease patients undergoing haemodialysis. Clin Oral Investig, 2015. 19(6): p. 1235-43.

Schmalz, G., et al., Oral health-related quality of life in patients on chronic haemodialysis and after kidney transplantation. Oral Dis, 2016. 22(7): p. 665-72.

Landreneau, K., K. Lee, and M.D. Landreneau, Quality of life in patients undergoing hemodialysis and renal transplantation--a meta-analytic review. Nephrol Nurs J, 2010. 37(1): p. 37-44.

Pagels, A.A., et al., Health-related quality of life in different stages of chronic kidney disease and at initiation of dialysis treatment. Health Qual Life Outcomes, 2012. 10: p. 71.

DOI: https://doi.org/10.34119/bjhrv3n4-044


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