An ignored cause of inflammation in patients undergoing continuous ambulatory peritoneal dialysis: periodontal problems

• Published in: International urology and nephrology 2014-10, Vol.46 (10), p.2021-2028
• Main Authors: Kocyigit, Ismail, Yucel, Hasan Esat, Cakmak, Omer, Dogruel, Fatma, Durukan, Dürdane Banu, Korkar, Hafsa, Unal, Aydin, Sipahioglu, Murat Hayri, Oymak, Oktay, Gurgan, Cem A., Tokgoz, Bulent
• Format: Article
• Language: English
• Subjects: Adult; Biomarkers - blood; Female; Humans; Inflammation - etiology; Male; Medicine; Medicine & Public Health; Middle Aged; Nephrology; Nephrology - Original Paper; Periodontal Diseases - complications; Periodontal Diseases - diagnostic imaging; Periodontal Diseases - prevention & control; Periodontal Index; Peritoneal Dialysis, Continuous Ambulatory - adverse effects; Radiography, Panoramic; Risk Factors; Urology
• ISSN: 0301-1623; 1573-2584
• DOI: 10.1007/s11255-014-0716-z

Aim 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. Patients and methods 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. Results 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