Abstract:
The correlation between periodontitis and chronic renal disease (CRD) is still being
debated. Periodontitis increases the systemic inflammatory burden, which worsens
CRD, and the CRD can affect the progression of periodontal disease. We don’t fully
understand how one disease can affect another disease. As a result, the pur- pose of
this study was to determine the prevalence and severity of periodontitis in patients
requiring hemodialysis, as well as the relationship between various clini- cal
periodontal parameters and serum creatinine, serum albumin, and blood urea. This
cross-sectional study included 167 participants with chronic renal diseases undergoing
hemodialysis. Patients’ data was collected with face-to-face interviews, followed by
biochemical investigations for each participant. Modified Plaque Score and Modified
Bleeding Score were recorded. Probing depth and clinical attachment level were
measured. The subjects were categorized into three groups: periodontally healthy
individuals, gingivitis and periodontitis. The severity of periodontitis has been
identified. Out of 167 subjects who participated in the study, 101 were male and 66
were female, with a mean age of 50.45 years. Poor oral hygiene and peri- odontitis
were found to be much higher among dialysis patients. 98.8% of them had
periodontitis and 63.0% had severe forms (stage III and IV). A significant positive
correlation between serum albumin and staging of periodontitis was also observed (p =
0.03). Severe periodontal diseases were more prevalent among patients with chronic
renal failure undergoing hemodialysis and a substantial drop in albumin levels is
linked to severe periodontitis, which may increase the chance of morbidity and death
in these individuals.
