Evaluation of periodontal parameters in patients undergoing peritoneal dialysis or hemodialysis


Dr Idil Kurtulus, Atakoy, 9/10, Kisim, A11B, Daire: 75, 34750 Bakirkoy, Istanbul, Turkey. Tel: +90 212 5601251, Fax: +90 212 6165218, E-mail: idil_kurtulus@yahoo.com


Objective:  To analyze and compare periodontal parameters in chronic renal failure (CRF) patients undergoing peritoneal dialysis (PD) therapy with a group of patients on hemodialysis (HD) treatment and healthy controls (C).

Participants:  Seventy-five PD patients (mean age: 44 ± 12 years) were matched with 41 HD patients (mean age: 46 ± 15 years) and 61 C (mean age: 46 ± 18 years).

Methods:  Plaque (PI) and calculus (CSI) accumulation and gingival bleeding (GI) were recorded with the appropriate indices. Periodontal condition was assessed using the probing pocket depth (PPD). One-way anova test, Pearson chi-squared test, Mann–Whitney U-test and Kruskal–Wallis test were performed to compare PD patients with HD patients and healthy C.

Results:  Plaque Index values were significantly higher (P < 0.001) in the PD and HD groups than the C group. GI values were significantly higher (P < 0.01) in the HD group than the PD group. Finally, CSI values in the PD and HD groups were also significantly higher (P < 0.001) than the C group.

Conclusions:  Chronic renal failure patients on PD treatment are more susceptible to periodontal diseases like HD patients. Thus, it is very important to maintain an optimal oral hygiene level. Further studies on periodontal parameters of only PD patients are needed to get more information on the oral health status of this patient group.