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DOI: 10.5455/ijmsph.2015.06042015209
International Journal of Medical Science and Public Health | 2015 | Vol 4 | Issue 7 1015
International Journal of Medical Science and Public Health Online 2015. © 2015 Akanksha Yadav. This is an Open Access article distributed under the terms of the
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Research Article
Oral manifestations in renal failure patients
undergoing Dialysis
Akanksha Yadav, Deepak U, Neeta Misra, Shiva Kumar GC, Amanpreet Kaur
Department of Oral Medicine and Radiology, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India.
Correspondence to: Akanksha Yadav, E-mail: akku110588@gmail.com
Received April 6, 2015. Accepted April 10, 2015
ing to retention of nitrogenous waste products of metabolism.
Improper kidney function is reflected in every organ system
of body, showing various signs and symptoms. About 90%
patients of renal failure have oral symptoms, which may be
consequences of dialysis and etiological factors causing CRF.
[2]
With advanced disease, greater measures such as
dialysis are taken. Dialysis is an artificial means of removing
nitrogenous and other toxic products of metabolism from
the blood. Dialysis leads to systemic alterations and oral
complications.
A wide range of oral signs and symptoms, such as dry
mouth, change of taste, mucosal pallor, uremic odor, dental
calculus, low salivary flow, and dental caries, have been
reported. In addition, oral infections such as candidiasis
and recurrent herpes have also been reported. The patients
Background: Chronic renal failure (CRF) is defined as a progressive decline in renal function associated with a reduced
glomerular filtration rate and about 90% patients of renal failure have oral symptoms such as dry mouth, change of
taste, mucosal pallor, and uremic odor. Only few studies were performed in patients reported oral health status of CRF.
Therefore, need was felt to conduct the study to assess the prevalence of oral manifestations in patients of renal failure
undergoing dialysis.
Objective: To assess the prevalence of oral manifestation and to compare the oral manifestations among patients of renal
failure undergoing dialysis and healthy patients.
Materials and Methods: The study was conducted in the Department of Oral Medicine and Radiology, Babu Banarasi
Das College of Dental Sciences and in Nephrology Department of Sanjay Gandhi Postgraduate Institute of Medical
Sciences, Lucknow, Uttar Pradesh, India, between January 1, 2014 and April 1, 2014. Hundred patients enrolled in it
were divided into two groups: 50 patients in study group undergoing dialysis and 50 patients in control group comprising
healthy individuals.
Result: Oral manifestations and signs and symptoms were more in patients undergoing dialysis than in healthy individuals
where unpleasant taste showed highest prevalence followed by uremic odor, xerostomia, and so forth.
Conclusion: This study shows increase in the prevalence of oral manifestations in patients of CRF. As the incidence of
CRF continues to rise worldwide, early diagnosis of oral manifestations and their appropriate management can improve
the quality of life of patients.
KEY WORDS: Dialysis, uremic odor, mucosal pallor, xerostomia
Abstract
Introduction
Chronic renal failure (CRF) is defined as a progressive
decline in renal function associated with a reduced glomerular
filtration rate (GFR).
[1]
The term renal failure is used primarily
to denote failure of the excretory function of the kidneys, lead-