The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 4 ( July-August, 2014 ) > List of Articles

RESEARCH ARTICLE

Oral Health-related Quality of Life and Periodontal and Dental Health Status in Iranian Hemodialysis Patients

Arefe Hajian-Tilaki, Farshid Oliae, Niloofar Jenabian, Karimollah Hajian-Tilaki, Mina Motallebnejad

Citation Information : Hajian-Tilaki A, Oliae F, Jenabian N, Hajian-Tilaki K, Motallebnejad M. Oral Health-related Quality of Life and Periodontal and Dental Health Status in Iranian Hemodialysis Patients. J Contemp Dent Pract 2014; 15 (4):482-490.

DOI: 10.5005/jp-journals-10024-1566

Published Online: 00-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of this study was to evaluate oral health status and oral health related quality of life (OHRQoL) in Iranian patients undergoing hemodialysis.

Materials and methods

In this cross-sectional study 145 (95 dentate and 50 edentulous) patients undergoing hemodialysis participated. Demographic information, laboratory findings and dental health status was recorded by a standard form. Oral hygiene status was obtained by simplified oral hygiene index (OHI-S) and oral health was evaluated by decay missing filling teeth (DMFT) index, plaque index (PLI) and periodontal disease index. Oral health related quality of life was determined by means of short form oral health impact profile (OHIP-14) and general oral health assessment index (GOHAI).

Results

The mean (± SD) DMFT, PLI and PDI were 15.47 ± 7.85, 2.03 ± 0.95, 4.09 ± 1.31 respectively. OHI-S was good in 7 (7.4%), fair 25 (26.6%) and poor in 38 (26.6%) of patients. The mean OHIP-14 and GOHAI scores were 31.32 ± 12.53 and 29.07 ± 8.5 respectively. The self-perceived oral health of 58 (40%) was good, 49(33.8%) was fair and 38 (26.2%) was poor. Patients with higher scores for the questionnaires had significantly worst self-rated oral health. Besides, there was a significant positive correlation between dental and periodontal variables with OHIP-14 and GOHAI scores.

Conclusion

Hemodialysis patients had a poor oral hygiene and periodontal status, weak attitudes and negligence toward oral health but they were satisfied of their oral health condition and their OHRQoL was approximately good. Therefor it should be communications between nephrologists and oral health care professionals for promoting the oral health status of the patients.

Clinical significance

The findings high light the need of comprehensive oral examinations including periodontal therapy, restorative treatment, preventive dental treatment and follow-up care in the hemodialysis patients.

How to cite this article

Hajian-Tilaki A, Oliae F, Jenabian N, Hajian-Tilaki K, Motallebnejad M. Oral Health-related Quality of Life and Periodontal and Dental Health Status in Iranian Hemodialysis Patients. J Contemp Dent Pract 2014;15(4):482-490.


PDF Share
  1. Detection and evaluation of chronic kidney disease. Am Fam Physician 2005 Nov 1;72(9):1723-1732.
  2. Oral and dental aspects of chronic renal failure. J Dent Res 2005 Mar;84(3):199-208.
  3. Exploring the differences in epidemiology of treated ESRD between Germany and England and Wales. Am J Kidney Dis 2006 Mar;47(3):445-454.
  4. Dental management of patients with renal failure. Gen Dent 2002 Nov-Dec;50(6):508-510.
  5. Renal hemodialysis patients: oral, salivary, dental and periodontal findings in 105 adult cases. Oral Dis 1999 Oct;5(4):299-302.
  6. Oral health status in patients with moderate-severe and terminal renal failure. Med Oral Patol Cir Bucal 2007 Aug 1;12(4):305-310.
  7. Oral healthrelated quality of life and periodontal health status in patients undergoing hemodialysis. J Am Dent Assoc 2009 Oct;140(10):1283-1293.
  8. Oral health-related quality of life: a critical appraisal of assessment tools used in elderly people. Gerodontology 2007 Sep;24(3):151-161.
  9. Development and evaluation of the oral health impact profile. Community Dent Health 1994 Mar;11(1):3-11.
  10. Derivation and validation of short-form oral health impact profile. Community Dent Oral Epidemiol 1997 Aug;25(4):284-290.
  11. Development of the geriatric oral health assessment index. J Dent Educ 1990 Nov;54(11):680-687.
  12. Validation of an oral health quality of life index (GOHAI) in France. Community Dent Oral Epidemiol 2003 Aug;31(4):275-284.
  13. Linguistic adaptation and validation of the general oral health assessment index (GOHAI) in an elderly Japanese population. J Public Health Dent 2006 Fall;66(4):273-275.
  14. A German version of the GOHAI. Community Dent Oral Epidemiol 2008 Feb;36(1):34-42.
  15. Oral health impact on quality of life in an adult Swedish population. Acta Odontol Scand 2009;67(2):85-93.
  16. Factors associated with the oral healthrelated quality of life in elderly persons in dental clinic: validation of a Mandarin Chinese version of GOHAI. Gerodontology 2011 Sep;28(3):184-191.
  17. Validity and reliability of persian version of oral health impact profile 14 (OHIP-14). Caspian J Intern Med 2011;2(4):314-320.
  18. Reliability and validity of persian version of the general oral health assessment index (GOHAI). Caspian J Dent Res 2013 Mar;1(2):8-17.
  19. Reliability and validity of the Geriatric Oral Health Assessment Index in Tukey. J Gerontol Nurs 2008 Sep;34(9):33-39.
  20. The dental and oral status of children with chronic renal failure. J Indian Soc Pedod Prev Dent 2007 Mar;25(1):7-9.
  21. The dental status of children with chronic renal Failure. Int J Pediatr Nephrol 1985 Apr-Jun;6(2):127-132.
  22. Oral health in children with chronic renal failure. Pediatr Nephrol 2003 Jan;18(1):39-45.
  23. Caries resistance in children with chronic renal failure: Plaque pH, salivary pH and salivary composition. Pediatr Res 1985 Aug;19(8):796-799.
  24. Oral findings and periodontal status in children, adolescents and young adults suffering from renal failure. J Clin Periodontol 2005 Oct;32(10):1076-1082.
  25. Dental diseases in a Jordanian population on renal dialysis. Quintessence Int 2003 May;34(5):343-347.
  26. The oral health status of dentate patients with chronic renal failure undergoing dialysis therapy. Oral Dis 2006 Mar;12(2):176-180.
  27. Does periodontitis reflect inflammation and malnutrition status in hemodialysis patients? Am J Kidney Dis 2006 May;47(5):815-822.
  28. Periodontal status of patientf's underwent hemodialysis therapy. Caspian J Med 2013 Spring;4(2):658-661.
  29. Kheyri A. Evaluation of the dental and periodontal status of haemodialysis subjects and its comparison with that of healthy people. Sci J Hamedan Univ Med Sci 2010;17(4):10-16.
  30. Oral hygiene and periodontal status of hemodialyzed patients with chronic renal failure in Qazvin, Iran. East Afr J Public Health 2009 Apr;6(1):108-111.
  31. Dental and periodontal findings in hemodialysis patients. Oral Dis 2007 Jul;13(4):393-397.
  32. The oral health status of individuals on renal dialysis. Ann Periodontal 1998 Jul;3(1):197-205.
  33. The dental health status of dialysis patients. J Can Dent Assoc 2002 Jan;68(1):34-38.
  34. Oral health surveys. Basic methods. 4th ed. Geneva: WHO 1997.
  35. The oral health status of children undergoing hemodialysis treatment. Turk J Pediatr 2003 Apr-Jun;45(2):108-113.
  36. Oral and dental manifestations in diabetic and nondiabetic uremic patients receiving hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005 Jun;99(6):689-695.
  37. Oral health of Brazilian population on renel dialysis. Spec Care Dentist 2007 Nov-Dec;27(6):227-231.
  38. Oral health of hemodialysis patients: a cross-sectional study at two German dialysis centers. Hemodial Int 2012 Jan;16(1):69-75.
  39. Oral health status in Iranian hemodialysis patients. Indian J Nephrol 2011 Oct;21(4):235-238.
  40. Oral health in Brazilian patients with chronic renal disease. Rev Med Chil 2008 Jun;136(6):741-746.
  41. Oral health status of dialysis patients based on their renal dialysis history in Kerman, Iran. Oral Health Prev Dent 2009;7(3):269-275.
  42. The management of xerostomia in patients on haemodialysis: comparision of artificial saliva and chewing gum. Palliat Med 2005 Apr;19(3):202-207.
  43. Anxiety, stress, depression, oral health status and behaviours in Romanian hemodialysis patients. Rom J Intern Med 2009;47(2):161-168.
  44. The effect of the duration of the dialysis in hemodialysis patients on dental and periodontal findings. Oral Dis 2009 Jul;15(5):336-341.
  45. Decrease in oral health may be associated with length of time since beginning dialysis. Spec Care Dentist 2012 Jan-Feb;32(1):6-10.
  46. Periodontal status in patients undergoing hemodialysis. Dent J Hamedan 2009;1:7-10.
  47. Assessment of periodontal health status in patients undergoing renal dialysis: a descriptive, cross-sectional study. J Indian Soc Periodontol 2012 Jan;16(1):37-42.
  48. Comparison of quality of life in haemodialysis and peritoneal dialysis patients. Adv Perit Dial 1994;10:104-108.
  49. Dialysis-related factors affecting quality of life in patients on hemodialysis. Iran J kidney Dis 2011 Jan;5(1):9-14.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.