An ignored cause of inflammation in patients undergoing continuous ambulatory peritoneal dialysis: periodontal problems     
Yazarlar (11)
İsmail Koçyiğit
Erciyes University, Türkiye
Doç. Dr. Hasan Esat YÜCEL Erciyes University, Türkiye
Ömer Çakmak
Erciyes University, Türkiye
Fatma Doğruel
Erciyes University, Türkiye
Durdane Banu Durukan
Erciyes University, Türkiye
Hafsa Korkar
Erciyes University, Türkiye
Aydın Ünal
Erciyes University, Türkiye
Murat Hayri Sipahioğlu
Erciyes University, Türkiye
Oktay Oymak
Erciyes University, Türkiye
Cem Abdulkadir Gürgan
Türkiye
Bülent Tokgöz
Erciyes University, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı International Urology and Nephrology
Dergi ISSN 0301-1623 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 04-2014
Cilt No 46
Sayı 10
Sayfalar 2021 / 2028
DOI Numarası 10.1007/s11255-014-0716-z
Makale Linki http://dx.doi.org/10.1007/s11255-014-0716-z
Özet
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. 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. 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). 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.
Anahtar Kelimeler
Continuous ambulatory peritoneal dialysis | Periodontal disease | Inflammation