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Dental condition and salivary characteristics in Vietnamese patients with chronic kidney disease
Author(s) -
Pham Thuy A. V.,
Le Dinh D.
Publication year - 2019
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/idh.12380
Subject(s) - medicine , vietnamese , kidney disease , disease , dentistry , intensive care medicine , philosophy , linguistics
Objectives To determine the dental status and salivary characteristics and to analyse the correlation between creatinine clearance with DMFT index and salivary flow rate in Vietnamese patients with chronic kidney disease (CKD). Methods This study was conducted on 111 CKD and 109 non‐CKD patients. The socio‐demographic characteristics associated with dental habits and xerostomia status were recorded from a self‐administered questionnaire. Dental status (DT, MT, FT) and salivary characteristics (flow rate; pH; buffering capacity; urea and creatinine concentrations) were examined. The multivariate regression models were used to assess the correlation of creatinine clearance with DMFT index and salivary flow rate with adjustment for confounders. Results Patients with CKD made MT and DMFT indices significantly higher than non‐CKD subjects. Chronic kidney disease patients had reduced salivary flow rate; but higher xerostomia level, salivary pH and buffering capacity than those in non‐CKD subjects. Results of multivariate regression models showed that with lower creatinine clearance 1 mL/min, DMF index was higher 0.02 teeth, and salivary flow rate lower 0.003 mL/min. Conclusions There were no differences in dental status between patients with CKD and those without CKD, except that poor renal function is directly related with a higher DMFT index and lower salivary flow rate. Dental professionals should pay greater attention to oral problems during the progression of CKD to prevent deterioration of oral health.