Evaluation of the Frequency Distribution of Oral and Dental Signs and Symptoms in Diabetic Patients with and Without End Stage Renal Disease Referring to Yazd Diabetes Center in 2020

Abstract

Introduction: Nephropathy, which is one of the main complications of diabetes, is the most common cause of irreversible renal failure. Diabetic and dialysis patients are prone to some oral dental problems, such as periodontal disease, increased plaque, gingivitis, candidiasis, dry mouth, premature loss of teeth. And mobility of teeth. Due to the high prevalence of diabetes and the increase in patients with chronic renal failure, the present study aimed to evaluate the frequency distribution of oral and dental signs and symptoms.Materials and Methods: This cross-sectional descriptive study was performed on 118 diabetic patients in ESRD (End Stage Renal disease) and non-ESRD groups. The patients assessed the symptoms of pain or burning sensation in the oral mucosa and dry mouth using the Visual Analogue Scale (VAS) and Fox questionnaire, respectively. Oral symptoms, including coated tongue, mucosal ulcers, candidiasis, and dental erosion, as well as CPITN (community periodontal index of treatment needs) and DMFT (decayed, missing, and filled permanent teeth), were evaluated and recorded by the researcher. Data were analyzed in SPSS software (version17) using T-test, Chi-squre, ANOVA, and Mann-Whitney tests.Results: Mucosal pallor, mucosal pain sensation, and CPITN index were significantly higher in the non-ESRD group, as compared to those inthe group of dialysis patients with p-values reported as 0, 0, and 0.04, respectively. Age demonstrated a direct and significant correlation with DMFT and CPITN index in both groups.Conclusion: Some oral manifestations are more common in kidney and dialysis patients. As illustrated by the obtained results, mucosal pallor, mucosal pain sensation, as well as periodontal problems according to CPITN index, were significantly lower in the group of dialysis patients than in the other group.

Keywords

• diabetes melitus
• diabetic nephropathy
• dialysis
• esrd
• oral manifestation