Abstract
BackgroundAim of this cross-sectional, multicentre study was to investigate associations of dialysis vintage time in haemodialysis (CKD5D) patients with oral health-related quality of life (OHRQoL) and dental and periodontal treatment need.Material and MethodsCKD5D patients were divided into subgroups according to dialysis vintage time in different dialysis centres in Germany. OHRQoL was assessed with oral health impact profile (OHIP-G14). Dental treatment need was classified as presence of carious lesions. Periodontal treatment need was defined as periodontal screening index score (PSI) 3-4.ResultsIn total, 190 participants were divided into the subgroups according to the time on CKD5D: 0 - 2 (n = 29), 3 - 5 (n = 35), 6 - 8 (n = 34), 9 - 12 (n = 29), 13 - 20 (n = 34) and >20 years (n = 29). The overall treatment need in the total cohort was 92% (dental 56%, periodontal 88%) with a total OHIP-G14 sum score of 4.17 [2; 0-5] without a significant correlation. Time on CKD5D was inversely correlated with the OHIP G14 score (p<0.01, R = -0.201). The pattern psychosocial impact was significantly associated with the dialysis duration (p<0.01) and showed a negative correlation to the OHIP-G14 (R = -0.283, Spearman´s rho test p<0.01). For oral function also a negative correlation with OHIP-G14 was detected (Spearman´s rho: -0.183).ConclusionsPatients with a prolonged dialysis vintage time show an improved OHRQoL, which might be mainly caused by the positive development of psychosocial pattern of OHRQoL. The oral health situation of HD patients seems unsatisfying, independently of dialysis vintage time and OHRQoL. Accordingly, an improvement in oral health situation of CKD5D patients is mandatory necessary. Thereby, consideration of psychosocial aspects especially at the beginning of CKD5D therapy and a sensitization regarding oral health issues with increasing vintage time might be recommendable. Key words:Dental care, oral health, oral related quality of life, haemodialysis, chronic kidney disease.
Highlights
Patients with chronic kidney disease and haemodialysis (CKD5D) must be seen as at high risk patients in dental practice due to systemic cause of renal disease, their general deficiencies and a compromised immune system [1,2]
CKD5D patients are a very complex patient group with a high physical and psychological burden caused by their underlying kidney disease [6]
The oral health-related quality of life (OHRQoL), which is a part of the general quality of life [10], has been proven in CKD5D patients
Summary
Patients with chronic kidney disease and haemodialysis (CKD5D) must be seen as at high risk patients in dental practice due to systemic cause of renal disease, their general deficiencies and a compromised immune system [1,2]. One study is available, which investigated general quality of life and oral status depending on dialysis duration and found poor oral health and reduced quality of life in CKD5D patients with a prolonged dialysis period [15]. The different patterns including oral function and psychosocial impact [19] might help to understand the complexity and to uncover main influential factors in CKD5D patients. Aim of this cross-sectional multicentre study was to investigate OHRQoL depending on dental and periodontal treatment need as well as dialysis duration in CKD5D patients. Thereby both, oral function and psychosocial burden should be of relevance
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
