determination of dmft index in patients with end stage renal disease being treated by hemodialysis in ali asghar medical center

abstract introduction. end stage renal disease (esrd) is the last stage of the decending process of structural and functional distruction of kidneys. this process is often combined with acute diseases like glumerulonephritis and pyelonephritis. uremic smell of mouth, enamel hypoplasia and defects, increase in dental debries, periodontal diseases, considerable delay in bone and dental age and fair decrease in oral hygiene are of this general oral symptoms. despite these unfavorable factors, the recent researches indicated relatively lower dmft index in these patients. regarding these results, this study is trying to identify the dmft index in the above mentioned patients. methods. in this descriptive- analytic research, 22 patients with end-stage renal disease being treated with hemodialysis were examined. this was the total number of the patients ranging from 17 to 33 years old who were referred to ali asghar medical center in isfahan. after examining and indicating the dmft index in these patients, they were compared with a healthy control group which were identical to the study group regarding their sex, age. results. comparison between the patients with esrd being treated by hemodialysis and healthy control group showed that dmft was lower in esrd than in control group. in this study however, no statistically meaningful relation was seen between sex, the age of the patients at the beginning of hemodialysis treatment, duration of hemodialysis treatment and the dmft index of patients with esrd being treated by hemodialysis. discussion. patients with end-stage renal disease being treated by hemodialysis had noticeably, lower dmft index compared to the normal people and this difference is more distinct in posterior teeth. further, more despite the fact that no statistically meaningful relation was found between the age at the beginning of hemodialysis treatment, the duration of hemodialysis treatment and the dmft index of patients with esrd, it is probable that meaningful statistical relation will be found in larger sample size. key words. dmft, esrd, dialysis. address. dr. heidar khademi (assistant proffesor), department of medicine and diagnosis dentistry, school of dentistry, isfahan university of medical sciences, isfahan, iran. e-mail: [email protected]