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Oral and Dental Findings in Patients with End Stage Renal Disease Undergoing Maintenance Hemodialysis in Sulaimani City | OMICS International | Abstract
ISSN: 2376-032X

JBR Journal of Interdisciplinary Medicine and Dental Science
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Research Article

Oral and Dental Findings in Patients with End Stage Renal Disease Undergoing Maintenance Hemodialysis in Sulaimani City

Khadija Muhamed Ahmed1*, Mohammed A Mahmood2, Rukhosh H. Abdulraheam2 and Shawbo M Ahmed3

1Department of Oral Diagnosis, University of Sulaimani, Iraq

2Department of Dental Basic Sciences, University of Sulaimani, Iraq

3Department of Operative, University of Sulaimani, Iraq

Corresponding Author:
Khadija Muhamed Ahmed
lecturer, Department of Oral Diagnosis
Faculty of Medical Sciences
University of Sulaimani School of dentistry
Street 27, Zone 209, Iraq
Tel: +9647701445804;
Fax: 1-952-658-0178;

Received date: May 31, 2015 ; Accepted date: June 23, 2015 ; Published date: June 25, 2015

Citation: Ahmed KM, Mahmood MA, Abdulraheam RH, Ahmed SM (2015) Oral and Dental Findings in Patients with End Stage Renal Disease Undergoing Maintenance Hemodialysis in Sulaimani City. J Interdiscipl Med Dent Sci 3:182. doi: 10.4172/2376-032X.1000182

Copyright: © 2015 Ahmed KM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: Patients with improper kidney’s functions requiring maintenance hemodialysis (HD) exhibit an increased prevalence of oral lesions. Since growing numbers of patients with chronic renal failure have been documented worldwide, the dental team has a significant role in providing oral care for patients with such disease.

The objectives of this study were to analyze the prevalence of oral lesions in hemodialysed patients compared to healthy individuals and to find a possible link between different subjective symptoms and objective clinical findings.

Patients and methods: An observational, case-control, cross-sectional study was carried out in 109 patients with end-stage renal disease (ESRD) on maintenance HD in comparison to 154 healthy controls in different health centers of Sulaimani city, Kurdistan region of Iraq. Various oral findings were documented by acknowledged dentist who implements well-known clinical diagnosis criteria for ESRD-associated oral manifestations. The data were analyzed using descriptive and analytical statistical software program to find the association between varibles; a p-value < 0.05 were considered as significant.

Results: The most common prevalent oral manifestations in haemodialysis group of patients were dry mouth (76.1%), coated tongue (73.4%), uremic fetor (66.1%), unpleasant taste (64.2%) and pale oral mucosa (60.6%); while linea alba was the most prevalent finding in healthy group. There was a significant relation with high Odds Ratio between dry mouth with uremic fetor, unpleasant taste, and oral mucosal pain.

Conclusions: Results of the present study indicated that a variety of oral manifestations is shown in patients with ESRD on maintenance hemodialysis in comparison to healthy individuals.

Early detection of these findings is of great importance, as it would allow the dentist to implement therapeutic and preventive measure for patients awaiting a renal transplant.


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