Medical and Periodontal Clinical Parameters in Patients at Different Levels of Chronic Renal Failure
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. To assess the clinical periodontal and medical parameters in patients with chronic renal failure (CRF) at different levels of renal disease. . CRF is a progressive and irreversible loss of renal function associated with a decline in the glomerular filtration rate. Periodontal disease is a destructive inflammatory disease affecting periodontal tissues that shows high prevalence in patients with CRF. . 102 CRF patients were included and divided into an early stage group (EG), predialysis group (PDG), and hemodialysis group (HDG). The medical parameters were taken from the patients' records. . Periodontal clinical condition differed among the CRF groups. Clinical attachment loss was greater in the HDG and PDG group compared to the EG ( = 0.0364); the same was observed in the Plaque Index ( = 0.0296); the others periodontal parameters did not show any differences. Ferritin levels were significantly higher in the HDG when compared to the EG and PGD ( < 0.0001), and fibrinogen was higher in PDG compared with the others ( < 0.0001); the triglycerides also showed higher values in the HDG compared with the other groups ( < 0.0001). . The patients with renal involvement should have a multidisciplinary approach to an improvement in their oral and systemic health.
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