Hellevi Ruokonen1, Karita Nylund2, Jukka H Meurman2, Anna M Heikkinen2, Jussi Furuholm2, Timo Sorsa2,3, Risto Roine4,5, Fernanda Ortiz6,7. 1. Head and Neck Center, Oral and Maxillofacial Diseases, Helsinki University Hospital and University of Helsinki, P.O.Box 263, Kasarmikatu 11-13, FI-00029 HUS, Helsinki, Finland. hellevi.ruokonen@hus.fi. 2. Head and Neck Center, Oral and Maxillofacial Diseases, Helsinki University Hospital and University of Helsinki, P.O.Box 263, Kasarmikatu 11-13, FI-00029 HUS, Helsinki, Finland. 3. Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. 4. Group Administration, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 5. Department of Social and Health Management, University of Eastern Finland, Kuopio, Finland. 6. Abdominal Center, Nephrology, Helsinki University Hospital, Helsinki, Finland. 7. Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, Finland.
Abstract
OBJECTIVE: This prospective follow-up cohort study analyzed chronic kidney disease (CKD) patients' oral symptoms, health habits, and oral health-related quality of life (OHRQoL), from predialysis to posttransplantation. A simplified questionnaire method (Oral Health Quality Score, OHQS), based on these and clinical findings, was constructed and tested for identifying patients in need for referral to a dentist. MATERIAL AND METHODS: Fifty-three CKD patients were followed up for a mean of 10.3 years. Clinical oral, radiological, and salivary examination was performed at baseline and posttransplantation. Total Dental Index (TDI) indicating inflammation was calculated. The patients filled out a questionnaire on symptoms, oral hygiene and health care habits, smoking, alcohol use, and medication. General health-related quality of life was assessed with the 15-dimensional (15D) instrument at posttransplantation. Descriptive and analytical methods were used in statistics. RESULTS: OHQS significantly correlated with high TDI (p = 0.017), number of teeth (p = 0.031), and unstimulated salivary flow rate (p = 0.001) in transplanted patients. Number of daily medications showed a negative correlation with the OHQS (r = - 0.30; p = 0.028). The prevalence of oral symptoms was slightly, but not significantly, more common posttransplantation compared with predialysis stage. CONCLUSION: OHQS identified patients with high oral inflammatory score thus confirming our study hypothesis. CLINICAL RELEVANCE: Use of OHQS and measuring salivary flow indicate patients at risk for oral diseases. These markers might be easy to use chair-side also by auxiliary personnel.
OBJECTIVE: This prospective follow-up cohort study analyzed chronic kidney disease (CKD) patients' oral symptoms, health habits, and oral health-related quality of life (OHRQoL), from predialysis to posttransplantation. A simplified questionnaire method (Oral Health Quality Score, OHQS), based on these and clinical findings, was constructed and tested for identifying patients in need for referral to a dentist. MATERIAL AND METHODS: Fifty-three CKDpatients were followed up for a mean of 10.3 years. Clinical oral, radiological, and salivary examination was performed at baseline and posttransplantation. Total Dental Index (TDI) indicating inflammation was calculated. The patients filled out a questionnaire on symptoms, oral hygiene and health care habits, smoking, alcohol use, and medication. General health-related quality of life was assessed with the 15-dimensional (15D) instrument at posttransplantation. Descriptive and analytical methods were used in statistics. RESULTS:OHQS significantly correlated with high TDI (p = 0.017), number of teeth (p = 0.031), and unstimulated salivary flow rate (p = 0.001) in transplanted patients. Number of daily medications showed a negative correlation with the OHQS (r = - 0.30; p = 0.028). The prevalence of oral symptoms was slightly, but not significantly, more common posttransplantation compared with predialysis stage. CONCLUSION:OHQS identified patients with high oral inflammatory score thus confirming our study hypothesis. CLINICAL RELEVANCE: Use of OHQS and measuring salivary flow indicate patients at risk for oral diseases. These markers might be easy to use chair-side also by auxiliary personnel.
Authors: Mortimer Gierthmuehlen; Nadja Jarc; Dennis T T Plachta; Claudia Schmoor; Christian Scheiwe; Petra Christine Gierthmuehlen Journal: Acta Neurochir (Wien) Date: 2021-10-19 Impact factor: 2.816