Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation
Identifieur interne : 000C08 ( Pmc/Curation ); précédent : 000C07; suivant : 000C09Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation
Auteurs : Gerhard Schmalz [Allemagne] ; Anne Kauffels [Allemagne] ; Otto Kollmar [Allemagne] ; Jan E. Slotta [Allemagne] ; Radovan Vasko [Allemagne] ; Gerhard A. Müller [Allemagne] ; Rainer Haak [Allemagne] ; Dirk Ziebolz [Allemagne]Source :
- BMC Oral Health [ 1472-6831 ] ; 2016.
Abstract
Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT).
Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s
A total of 70 patients (HD:
Periodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. Regarding microbiological findings, no major differences between KT and HD patients were found.
Url:
DOI: 10.1186/s12903-016-0274-0
PubMed: 27531498
PubMed Central: 4988025
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Slotta</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert</wicri:regionArea></affiliation></author><author><name sortKey="Vasko, Radovan" sort="Vasko, Radovan" uniqKey="Vasko R" first="Radovan" last="Vasko">Radovan Vasko</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Nephrology and Rheumatology, University Medical Center, Goettingen</wicri:regionArea></affiliation></author><author><name sortKey="Muller, Gerhard A" sort="Muller, Gerhard A" uniqKey="Muller G" first="Gerhard A." last="Müller">Gerhard A. 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Slotta</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert</wicri:regionArea></affiliation></author><author><name sortKey="Vasko, Radovan" sort="Vasko, Radovan" uniqKey="Vasko R" first="Radovan" last="Vasko">Radovan Vasko</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Nephrology and Rheumatology, University Medical Center, Goettingen</wicri:regionArea></affiliation></author><author><name sortKey="Muller, Gerhard A" sort="Muller, Gerhard A" uniqKey="Muller G" first="Gerhard A." last="Müller">Gerhard A. Müller</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Nephrology and Rheumatology, University Medical Center, Goettingen</wicri:regionArea></affiliation></author><author><name sortKey="Haak, Rainer" sort="Haak, Rainer" uniqKey="Haak R" first="Rainer" last="Haak">Rainer Haak</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103 Leipzig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103 Leipzig</wicri:regionArea></affiliation></author><author><name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103 Leipzig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103 Leipzig</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT).</p></sec><sec><title>Methods</title><p>Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s <italic>t</italic>-test or Mann–Whitney-<italic>U</italic>-test, Fisher’s exact test (α = 5 %).</p></sec><sec><title>Results</title><p>A total of 70 patients (HD: <italic>n</italic> = 35, KT: <italic>n</italic> = 35) with a mean age of 56.4 ± 11.1 (HD) and 55.8 ± 10.9 (KT) years were included. Lack in use of additional oral hygiene (dental floss, inter-dental brush) was found. KT group presented significantly more gingivial overgrowth (<italic>p</italic> = 0.01). DMF-T was 19.47 ± 5.84 (HD) and 17.61 ± 5.81 (KT; <italic>p</italic> = 0.21). Majority of patients had clinically moderate and severe periodontitis; showing a need for periodontal treatment of 57 % (HD) and 71 % (KT; <italic>p</italic> = 0.30). Significantly higher prevalence of <italic>Parvimonas micra</italic> and <italic>Capnocytophaga species</italic> in the HD group were found (<italic>p</italic> < 0.01).</p></sec><sec><title>Conclusion</title><p>Periodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Oral Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Oral Health</journal-id><journal-title-group><journal-title>BMC Oral Health</journal-title></journal-title-group><issn pub-type="epub">1472-6831</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27531498</article-id><article-id pub-id-type="pmc">4988025</article-id><article-id pub-id-type="publisher-id">274</article-id><article-id pub-id-type="doi">10.1186/s12903-016-0274-0</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Schmalz</surname><given-names>Gerhard</given-names></name><address><email>gerhard.schmalz@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kauffels</surname><given-names>Anne</given-names></name><address><email>anne.kauffels@med.uni-goettingen.de</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Kollmar</surname><given-names>Otto</given-names></name><address><email>Otto.Kollmar@helios-kliniken.de</email></address><xref ref-type="aff" rid="Aff2">2</xref><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Slotta</surname><given-names>Jan E.</given-names></name><address><email>jan.slotta@med.uni-goettingen.de</email></address><xref ref-type="aff" rid="Aff2">2</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Vasko</surname><given-names>Radovan</given-names></name><address><email>radovan.vasko@med.uni-goettingen.de</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Müller</surname><given-names>Gerhard A.</given-names></name><address><email>gmueller@med.uni-goettingen.de</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Haak</surname><given-names>Rainer</given-names></name><address><email>rainer.haak@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Ziebolz</surname><given-names>Dirk</given-names></name><address><phone>+49 341 97 21211</phone><email>dirk.ziebolz@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstr. 10-14, D 04103 Leipzig, Germany</aff><aff id="Aff2"><label>2</label>Department of General, Visceral and Pediatric Surgery, University Medical Center, Goettingen, Germany</aff><aff id="Aff3"><label>3</label>Present address: Department of General and Visceral Surgery, HELIOS Dr. Horst Schmidt-Kliniken, Wiesbaden, Germany</aff><aff id="Aff4"><label>4</label>Present address: Department of General and Visceral Surgery, St. Ingbert County Hospital, St. Ingbert, Germany</aff><aff id="Aff5"><label>5</label>Department of Nephrology and Rheumatology, University Medical Center, Goettingen, Germany</aff></contrib-group><pub-date pub-type="epub"><day>17</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>17</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>16</volume><elocation-id>72</elocation-id><history><date date-type="received"><day>9</day><month>2</month><year>2016</year></date><date date-type="accepted"><day>9</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s). 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT).</p></sec><sec><title>Methods</title><p>Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s <italic>t</italic>-test or Mann–Whitney-<italic>U</italic>-test, Fisher’s exact test (α = 5 %).</p></sec><sec><title>Results</title><p>A total of 70 patients (HD: <italic>n</italic> = 35, KT: <italic>n</italic> = 35) with a mean age of 56.4 ± 11.1 (HD) and 55.8 ± 10.9 (KT) years were included. Lack in use of additional oral hygiene (dental floss, inter-dental brush) was found. KT group presented significantly more gingivial overgrowth (<italic>p</italic> = 0.01). DMF-T was 19.47 ± 5.84 (HD) and 17.61 ± 5.81 (KT; <italic>p</italic> = 0.21). Majority of patients had clinically moderate and severe periodontitis; showing a need for periodontal treatment of 57 % (HD) and 71 % (KT; <italic>p</italic> = 0.30). Significantly higher prevalence of <italic>Parvimonas micra</italic> and <italic>Capnocytophaga species</italic> in the HD group were found (<italic>p</italic> < 0.01).</p></sec><sec><title>Conclusion</title><p>Periodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. Regarding microbiological findings, no major differences between KT and HD patients were found.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Dental care</kwd><kwd>Hemodialysis</kwd><kwd>Kidney transplantation</kwd><kwd>Oral health</kwd><kwd>Oral hygiene</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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