[Dental status in 42 chronically hemodialyzed patients].
BACKGROUND
Hemodialyzed patients often present with a deficient dental state. The objective of this study was to assess the oral state and dental hygiene of chronically hemodialyzed patients.


METHODS
Forty-two chronically hemodialyzed patients were followed at the dental consultation and treatment centre. Clinical and radiographic data was assessed (panoramic and retro alveolar x-ray).


RESULTS
The patients' mean age was 41.7 years. The sex ratio was 16/26. 11.9% of patients were toothless. Dental hygiene was bad in 45.9% of the cases. 78.5% of patients brushed their teeth 35.1% of whom once a day. Periodontitis was noted in 73% of the cases and gingival bleeding in 48.6%. 89.2% of patients presented with caries and 78.4% were missing teeth. Nineteen percent of the patients used a prosthesis. Chewing was adequate for 47.6% of patients. The paleness of mucosal membranes and xerostomia was noted respectively in 40.5% and 21.4% of patients. The radiological exam findings were pathological for ten patients (23,6%). The mean plaque index was 1.9±0.84 and gingival index 1.8±0.87. 71.4% of patients consulted an odontologist in the year before the study.


CONCLUSIONS
The dental status of chronically hemodialyzed patients is bad. They must be managed as early as possible.
Service de Néphrologie-Dialyse-Transplantation Rénale, CHU Ibn Sina-Rabat, Avenue Ahmed Balafrej, BP 10000, Rabat, Maroc. tarik1008@hotmail.com
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Bouattar
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Chbicheb
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Benamar
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El Wady
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Bayahia
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000150:complications*; D003774:Dental Plaque Index; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene / Q000706:statistics & numerical data; D010512:Periodontal Index; D010518:Periodontitis / Q000150:complications*; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000150:complications* / Q000628:therapy; D016388:Tooth Loss / Q000150:complications*; D055815:Young Adult