Nefrotik Sendromlu Çocuklarda Ağız Bulguları̇

Abstract

Objective: Nephrotic syndrome (NS) is caused by different disorders that damage the kidneys. This damage leads to the excessive release of protein into the urine. Due to alterations in mineral metabolism in young patients with nephrotic syndrome, dental development, periodontal tissues, and alveolar bone may be disturbed. The aim of this study was to assess the oral health status in children with nephrotic syndrome and compare the results with a control group. Material and Methods: The study was carried out at the University of Adnan Menderes Department of Pediatric Dentistry and Pediatric Nephrology. The study was approved by the Ethics Board Committee of the University Hospital. The study group consisted of 38 children with nephrotic syndrome and 52 healthy children were in the control group. Prepared forms to obtain descriptive information and dental examination findings were used for assessment. The statistical differences between the control and study groups were determined using chi-square and student's T test. Results: Enamel hypoplasia was present in one child in the study group. Mean dmft, DMFT, plaque, and gingival indices of the study group were 3.85, 3.17, 1.62±0.794 and 1.14±0.63 respectively. The control group's dmft, DMFT, plaque and gingival indices were 5.45, 3.73, 1.19±0.93 and 0.63±0.71. The means of dmfs, dmft, DMFS, DMFT indices were found to be lower in the study group compared to the control group. However, this difference was not statistically significant. Plaque index (PI) and gingival index (GI) values were determined to be higher in the study group than in the control group. While the difference between PI values was not statistically significant, the difference between GI values was found to be statistically significant. Conclusion: It was concluded that despite the poor oral hygiene in nephrotic syndrome patients, we found a low incidence of tooth decay. It assumed that immune suppressive drugs in this group of patients could have a negative impact on the oral health. However; the use of vitamin D and calcium may prevent the dental problems which arise from NS treatment.