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01.10.2014 | Nephrology - Original Paper

An ignored cause of inflammation in patients undergoing continuous ambulatory peritoneal dialysis: periodontal problems

verfasst von: Ismail Kocyigit, Hasan Esat Yucel, Omer Cakmak, Fatma Dogruel, Dürdane Banu Durukan, Hafsa Korkar, Aydin Unal, Murat Hayri Sipahioglu, Oktay Oymak, Cem A. Gurgan, Bulent Tokgoz

Erschienen in: International Urology and Nephrology | Ausgabe 10/2014

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Abstract

Aim

We aimed to assess whether there is a significant relation between periodontal health status and inflammation in uremic patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and also to reveal the efficiency of periodontal treatment in patients with various degrees of periodontal problems.

Patients and methods

Overall, 68 patients undergoing CAPD were included in the study. Clinical indices and measurements were obtained at baseline and panoramic radiographies were used for the diagnosis. According to the baseline values, patients were stratified into four groups according to the severity of periodontal problems as follows: healthy/gingivitis, slight-to-moderate, and severe periodontitis. A control examination was performed 3 months after the periodontal treatment for only 43 patients. Clinical and laboratory parameters before and after treatment were compared.

Results

The frequency of periodontal disease was found to be high in uremic patients on CAPD. The frequency and severity of periodontitis was also found to be significantly (p < 0.01) higher in patients with high sensitive C-reactive protein levels and longer duration of peritoneal dialysis (p < 0.01). In addition, the periodontitis rate was found to be higher in patients with cardiovascular disease (p < 0.05) and diabetes mellitus (p < 0.01).

Conclusion

A meticulous periodontal examination should be a routine part of management of the uremic patients on CAPD because periodontal disease could be one of the hidden sources of unexplained inflammatory status.

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Titel: An ignored cause of inflammation in patients undergoing continuous ambulatory peritoneal dialysis: periodontal problems
verfasst von: Ismail Kocyigit
Hasan Esat Yucel
Omer Cakmak
Fatma Dogruel
Dürdane Banu Durukan
Hafsa Korkar
Aydin Unal
Murat Hayri Sipahioglu
Oktay Oymak
Cem A. Gurgan
Bulent Tokgoz
Publikationsdatum: 01.10.2014
Verlag: Springer Netherlands
Erschienen in: International Urology and Nephrology / Ausgabe 10/2014
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI: https://doi.org/10.1007/s11255-014-0716-z

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Abstract

Aim

Patients and methods

Results

Conclusion

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