:: Volume 14, Issue 2 (summer 2014) ::
J Ardabil Univ Med Sci 2014, 14(2): 168-175 Back to browse issues page
Comparison of Oral Manifestations of Diabetic and Non-Diabetic Uremic Patients Undergoing Hemodialysis
Seyed Javad Kia, Ali Khalighi sigaroudi, Bardia Vadiati Saberi *, Abolfazl Bagheri
Abstract:   (14683 Views)

  Background & Objectives: Chronic renal failure (CRF), also known as chronic kidney disease, caused by devastated nephron mass of the kidney results in uremia. Hypertension, diabetes mellitus and glomerulonephritis are common etiologic factors of CRF. This condition causes miscellaneous oral manifestations especially in diabetic patients. The aim of this study was to comparison oral manifestations of diabetic and non-diabetic uremic patients undergoing hemodialysis.

  Methods: A total of 95 patients who undergoing hemodialysis in Razi hospital in Rasht city participated in this descriptive analytical study. Patients were divided into two diabetic and non- diabetic groups. Oral cavity examinations were done by latex gloves and single use mirror. Objective and subjective oral manifestations such as xerostomia, bad taste, mucosal pain, uremic odor, coating tongue, petechial, purpura, pale oral mucosa, ulcer, dental erosion and candida infection were recorded in questionnaire. After gathering of information, the data were analyzed by SPSS 15 software using t-test and chi square statistical test.

  Results: About 60% of patients (57 person) were men and 40 % (38 person) were women. The mean age of patients was 48 years (range of 20 -76 years). Common subjective oral manifestation in both groups was xerostomia and most common objective oral manifestations were pale oral mucosa, uremic odor and coating tongue respectively. The DMFT index in diabetic group was significantly higher (17.3±7.63) than non-diabetic patients (12.4±8.26). There was no significant statistical correlation between the time of dialysis, number of dialysis appointment during the week and objective and subjective oral manifestations in two groups.

  Conclusion: Although, the present study has shown an increase in oral manifestations in diabetic patients undergoing hemodialysis relative to non-diabetic group, but this increase was not statistically significant. On the other hand results of our study have indicated significantly higher DMFT in diabetic group in comparison with the non-diabetic group. So patients with diabetes mellitus undergoing hemodialysis need to more oral and dental health care.

Keywords: Oral Manifestation, Diabetes Mellitus, Hemodialysis, Uremic
Full-Text [PDF 141 kb]   (2709 Downloads)    
Type of Study: article | Subject: Special
Received: 2013/08/11 | Accepted: 2014/05/1 | Published: 2014/06/30

XML   Persian Abstract   Print

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 14, Issue 2 (summer 2014) Back to browse issues page