[Tooth loss in diabetic patients with and without chronic kidney disease and dialysis].
OBJECTIVE
To compare tooth loss (TL) in ESRD (ESRD DM) and non-ESRD (DM) type 2 diabetic patients.


METHODS
Teeth loss was quantified, and dentition classified as: Non-Compromised (NCD) with > or = 25 teeth, partially compromised (PCD) with 9 to 24, and compromised (CD) with 0 to 8 teeth.


RESULTS
ESRD DM and DM: n> or = 103 and 130, mean age 57.9 and 58.5 yr (p> or =0.716), and at diabetes diagnosis 38.5 and 47.8 yr (p<0.001). Edentulous 23.5% and 13.8% (p> or =0.057), NCD 24.5% and 35.4% (p> or =0.074). TL was strongly associated mainly to periodontal disease (p<0.001). For ESRD DM, a low serum albumin (<3.5 g/dl) was more prevalent in peritoneal dialysis cases (p> or =0.0014), women (p> or =0.0100), people reporting unpleasant taste (UT) (p> or =0.0174), and those with a CD (p> or =0.0242).


CONCLUSIONS
There was a clear trend for more severe TL in ESRD DM cases, but no statistical difference was found. The association between low serum albumin, UT and CD imply a need for treatment of these conditions as a part of nutritional intervention in ESRD DM cases.
de la Rosa
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E
Departamento de Atención a la Salud, Universidad Autónoma Metropolitana-Xochimilco, Hospital General de Zona N. 50, Instituto Mexicano del Seguro Social, San Luis Potosí, SLP, México. delarosa0712@msn.com
Cruz
S
S
Mondragón
A
A
D002908:Chronic Disease; D048909:Diabetes Complications / Q000150:complications*; D003928:Diabetic Nephropathies / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D016388:Tooth Loss / Q000209:etiology*