Periodontal Health in Pre-Dialysis CKD Patients in Northeast Malaysia
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:
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Hanim Afzan Ibrahim, Nur Karyatee Kassim, Fatimah Zahra Jamsari, Siti Lailatul Akmar Zainuddin, Muhammad Hafiz Hanafi, Azreen Syazril Adnan
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Periodontal Health of Pre-Dialysis Chronic Kidney Disease Patients in a Northeast Peninsular Malaysia Tertiary Hospital
Year: 2020 | Doi: 10.21315/mjms2020.27.1.11
Copyright (license): CC BY 4.0
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Summary of article contents:
Introduction
Chronic kidney disease (CKD) is often accompanied by periodontal disease due to the hyperinflammatory state associated with renal dysfunction. In Malaysia, there is a lack of studies focused on the prevalence of periodontal disease among CKD patients. This study aims to evaluate the periodontal health of pre-dialysis CKD patients at Hospital Universiti Sains Malaysia, highlighting the need to monitor and address oral health within this vulnerable population.
Correlation Between Periodontal Health and CKD
The study enrolled 46 pre-dialysis CKD patients who underwent thorough periodontal examinations, measuring parameters such as periodontal probing depth (PPD), clinical attachment loss (CAL), and plaque index. Results indicated that a significant proportion of patients exhibited mild (74%) to moderate (20%) periodontitis as assessed by PPD, while CAL assessments revealed mild (26%), moderate (63%), and severe (11%) periodontitis cases. Notably, there was no correlation between the periodontal parameters and the estimated glomerular filtration rate (eGFR), suggesting that while CKD patients generally exhibit poor periodontal health, the severity may not directly correlate with kidney function at this early stage.
Conclusion
The findings of this study underscore a prevalent and severe state of chronic periodontitis among pre-dialysis CKD patients in Malaysia. This highlights the urgent need for better oral health care practices and continuous monitoring of periodontal health in CKD patients. Addressing oral health issues early in the progression of CKD could potentially mitigate systemic inflammation and slow the progression of renal disease. Future research with larger samples and multicenter approaches will be crucial for confirming these observations and improving patient outcomes.
FAQ section (important questions/answers):
What is the relationship between chronic kidney disease and periodontal disease?
Chronic kidney disease (CKD) is associated with periodontal disease due to the hyperinflammatory state observed in CKD patients. This inflammation can lead to an increased prevalence and severity of periodontal disease.
What were the objectives of the study conducted in Malaysia?
The study aimed to assess the periodontal status of pre-dialysis CKD patients in Hospital Universiti Sains Malaysia, focusing on the prevalence and severity of periodontitis among this population.
How prevalent is periodontitis among CKD patients in the study?
In the study, 74% of pre-dialysis CKD patients had mild periodontitis, while 63% showed moderate periodontitis based on clinical attachment loss measurements, indicating a significant prevalence of periodontal disease among them.
Was there any correlation between periodontal parameters and kidney function?
No correlation was found between periodontal parameters (like probing depth and clinical attachment loss) and estimated glomerular filtration rate (eGFR), suggesting that kidney function may not directly influence periodontal health in CKD patients.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Periodontal Health in Pre-Dialysis CKD Patients in Northeast Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Disease:
Disease refers to a pathological condition characterized by specific symptoms and signs, which affect normal functioning of the body. In the context of chronic kidney disease (CKD), it impacts kidney performance, leading to various complications such as inflammation and periodontal issues, significantly influencing a patient’s overall health.
2) Study (Studying):
Study implies a systematic investigation or research aimed at discovering facts, analyzing phenomena, or exploring relationships. In this document, the study focuses on the relationship between chronic kidney disease and periodontal health, specifically assessing periodontal status among pre-dialysis patients, contributing to scientific literature in nephrology.
3) Table:
Table denotes a structured arrangement of data in a systematic format, often used to summarize findings. In academic research, tables present quantitative data clearly, making it easier for readers to comprehend complex information. The tables in the study outline sociodemographic characteristics and periodontal parameters of the participants.
4) Measurement:
Measurement involves the quantification of particular attributes, such as dimensions or characteristics. In this context, it pertains to assessing periodontal parameters like probing depth (PPD) and clinical attachment loss (CAL) to objectively evaluate periodontal health among patients with chronic kidney disease, contributing to evidence-based practice.
5) Hygiene (Hygienic):
Hygiene refers to practices that maintain health through cleanliness. Oral hygiene is essential for preventing periodontal diseases, especially in patients with chronic conditions like CKD. The study highlights oral hygiene status through the plaque index, underscoring its influence on the overall health of renal patients.
6) Gupta:
Gupta likely refers to a key researcher or author involved in studies related to chronic kidney disease and its associated oral health conditions. Citing their work allows for acknowledgment of their contributions, facilitating discussions on findings, methodologies, and exploring the broader implications within nephrology and dentistry.
7) Drug:
Drug denotes a synthetic or natural substance used for medical treatment. In this study, medications impacting oral health, particularly among CKD patients, illustrate how they can lead to various oral conditions, thus emphasizing the need for careful management and consideration of patient medications during treatment assessments.
8) Xerostomia:
Xerostomia describes a condition of dry mouth resulting from diminished salivary flow. It commonly occurs in CKD patients due to medication effects or kidney dysfunction. The study emphasizes the prevalence of xerostomia in CKD populations, linking it to oral health issues that exacerbate periodontal diseases, necessitating patient education.
9) Male:
Male refers to the gender of individuals in the patient population being studied. The research shows a predominance of male CKD patients, which may influence study findings or highlight gender-related differences in disease progression, treatment responses, and oral health statuses, calling for tailored healthcare strategies.
10) Kumar:
Kumar is likely a co-author or researcher contributing to the study or broader research on chronic kidney disease and oral health. Acknowledging individuals like Kumar helps in tracking research lineage and understanding varying approaches taken across studies, which may enrich future investigations in this medical field.
11) Inflammation:
Inflammation is the body's response to injury or infection marked by swelling, redness, and heat. In chronic kidney disease patients, inflammation may be amplified, leading to increased risks for periodontal disease. Understanding inflammation allows for better approaches in managing both CKD and associated complications like periodontitis.
12) Discussion:
Discussion refers to the section of a research paper that interprets findings, connects them to existing literature, and explores implications. In this study, the discussion integrates findings about periodontal health in CKD patients, providing insights into the relationship between systemic health and oral condition management.
13) Rules:
Rules denote established guidelines or standards. In this context, rules inform research methodologies, such as classification criteria for periodontal disease. Adhering to these guidelines ensures that study outcomes are reliable and can be compared to other research, thus supporting methodological integrity in scientific investigation.
14) Sign:
Sign refers to an observable indicator of a condition or disease. In the context of CKD and periodontal health, signs encompass clinical findings such as probing depth and attachment loss, which serve as critical markers for evaluating the severity of periodontal disease among patients under investigation.
15) Pur:
Poor is often used to indicate substandard conditions or outcomes. In the context of oral health, referring to poor oral hygiene among CKD patients suggests inadequacies in self-care that may exacerbate periodontal disease. This highlights a critical area for intervention and health education in patient management.
16) Bleeding:
Bleeding indicates the loss of blood, often signaling underlying health issues. In the context of periodontal disease, bleeding gums are a significant sign of inflammation and disease progression; therefore, monitoring these symptoms among CKD patients may provide crucial insights regarding their oral health status and treatment needs.
17) Samtana (Santana):
Santana appears to refer to an author or contributor to research studies relevant to chronic kidney disease. Citing researchers like Santana acknowledges their role in advancing knowledge, facilitating peer dialogue, and establishing connections across various studies exploring CKD and its impact on oral health.
18) Surface:
Surface refers to the outermost layer of structures, such as teeth, where plaque accumulates. In periodontal assessments, evaluating surface conditions is vital for establishing a patient’s oral hygiene and susceptibility to disease, emphasizing the need for regular examinations to prevent periodontal complications in CKD patients.
19) Indian:
Indian likely pertains to the population or cultural aspects relevant to the study. It may provide context regarding demographic factors influencing health outcomes, particularly the prevalence of chronic kidney disease and periodontal conditions within Indian subgroups, facilitating comparisons across different ethnicities and geographic locations.
20) India:
India denotes the country, which is significant in the context of healthcare studies. The research could explore chronic kidney disease and oral health within the Indian population, contributing valuable insights related to healthcare practices, disease prevalence, and the importance of culturally tailored interventions for patient management.
21) Annal:
Annal generally indicates yearly records or reports in a specific field. In medical literature, referring to annals can connect temporal data or trends over years, providing growth insights in knowledge pertaining to chronic kidney disease and periodontal health across various regions and populations.
22) Devi:
Devi may signify a research participant or author involved in studies surrounding chronic kidney disease. Citing individuals like Devi emphasizes the collective contribution of diverse researchers to the body of knowledge, contributing to a deeper understanding of systemic diseases and their impacts on oral health.
23) Chemotherapy:
Chemotherapy refers to the treatment of cancer through chemical substances, which can impact overall health. In CKD patients, chemotherapy can exacerbate oral health issues, such as xerostomia or periodontitis. Understanding these relationships is crucial for developing integrative treatment plans that address both cancer and kidney conditions.
24) Malnutrition:
Malnutrition portrays an inadequate or imbalanced nutrient intake affecting health. In patients with chronic kidney disease, malnutrition can impair immune responses and exacerbate oral health issues, such as periodontal disease, making it essential to monitor nutritional status and provide dietary interventions as part of patient care.
25) Accumulation (Accumulating, Accumulate):
Accumulation refers to the build-up or clustering of substances over time. In the context of periodontal health, accumulation typically relates to plaque formation on teeth surfaces, which can enhance the risk of periodontal disease, particularly among individuals with chronic conditions like CKD, necessitating vigilant oral hygiene practices.
26) Arrangement:
Arrangement denotes the organization or structure of elements. In research, careful arrangement of data and participants is critical for clarity and understanding. This study illustrates how participant data and health parameters are arranged for effective analysis, facilitating deeper insights into the relationship between chronic kidney disease and periodontal health.
27) Calculation:
Calculation refers to the mathematical process of determining a value or measurement. In the context of estimated glomerular filtration rate (eGFR), calculation is crucial for assessing kidney function, guiding treatment decisions, and evaluating potential correlations with periodontal parameters among patients with chronic kidney disease.
28) Substance:
Substance signifies a fundamental material or component, often relevant in discussions of chemical elements impacting health. In this study, substances might encompass medications, nutrients, or inflammatory markers that bear significance on the health status of CKD patients, particularly concerning their oral health outcomes and treatment regimens.
29) Education:
Education refers to the process of imparting knowledge and skills, vital for improving patient health outcomes. In the context of CKD and periodontal health, educating patients about oral hygiene practices is essential to prevent disease progression, supporting comprehensive care strategies that enhance overall health management.
30) Attending:
Attending implies being present or participating in an event or context, such as a medical clinic. In this study, attending nephrology follow-ups emphasizes the importance of routine medical evaluations for CKD patients, ensuring ongoing monitoring and treatment of associated conditions like periodontal disease.
31) Activity:
Activity denotes actions or functions performed by individuals. In understanding chronic kidney disease management, activity can refer to patient behaviors regarding diet, exercise, or oral hygiene maintenance. Analyzing patient activities helps identify areas for improvement in lifestyle choices that could positively influence health outcomes.
32) Pregnant:
Pregnant refers to the condition of carrying a developing embryo or fetus within the body. In studying CKD and health conditions, pregnancy requires special consideration due to potential complications involved, necessitating tailored healthcare practices to ensure both maternal and fetal health is optimized during kidney disease.
33) Quality:
Quality pertains to the standard or degree of excellence of something. In healthcare, the quality of care provided to CKD patients influences health outcomes significantly. Prioritizing quality in treatment measures, including oral health protocols, can help alleviate complications related to chronic conditions, thereby enhancing patient life quality.
34) Science (Scientific):
Science refers to a systematic enterprise that builds and organizes knowledge in the form of testable explanations and predictions about the universe. In this context, it encompasses the study of health issues, such as the relationships between chronic kidney disease and oral health, grounding the findings in empirical evidence.
35) Cancer:
Cancer signifies a group of diseases characterized by uncontrolled cell growth. The study may address how the presence of cancer affects oral health in CKD patients due to treatment interventions, highlighting the importance of holistic healthcare approaches that consider multiple coexisting conditions and their interactions with oral health.
36) Diet:
Diet refers to the sum of food and drink consumed by individuals. In managing CKD, diet is critical as specific dietary modifications can influence kidney health and overall well-being. A focus on diet helps in developing comprehensive care strategies to address both renal and oral health problems.
37) Hand:
Hand refers to the body part used for grasping and manipulation. The concept of hand can relate to the manual techniques employed in dental care and assessment of periodontal health, highlighting the importance of skilled healthcare personnel in delivering effective treatment and interventions for chronic conditions.
38) Post:
Post signifies something that occurs after a specified event. In research, post-treatment assessments are crucial for evaluating the effectiveness of interventions. Following treatment in CKD or periodontal protocols, post-evaluations help determine the long-term effectiveness of strategies deployed to enhance patient outcomes and health conditions.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Periodontal Health in Pre-Dialysis CKD Patients in Northeast Malaysia’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
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