Saúde bucal de nefropatas : estudo transversal.

Abstract

Introduction: patients in substitution therapy need oral health counseling in order to avoid negative impacts on kidney disease and also contribute to the success of a possible transplant. After transplantation, immunosuppression may facilitate restricted mouth situations to become systemic. Objective: to analyze the oral health of nephropathic patients undergoing hemodialysis and renal transplantation. Materials and method: this is an observational cross-sectional analytical study. The study population consisted of patients undergoing substitution therapy (hemodialysis) and renal transplant patients from the Venâncio Aires Uronephology Service - RS (SUNEVA) who underwent intraoral clinical examination and questionnaire (in all sample) and serological examination (in one part of the sample). Results: the sample was predominantly male (67,4%) and white (67,4%); the average age of the individuals was 56,8 years. According to the time of hemodialysis, most performed more than three years. Regarding the clinical variables of the entire sample, the mean DMFT was 16,6; CP 14,4; ISG of 0,71 and IPV of 39,1. For the analysis of serological tests, the Chemiluminescence (CLIA) method was used to detect herpes simplex-reactive IgG and IgM antibodies. The results of four transplanted patients and four hemodialysis patients showed positive IgG and negative IgM for seven tests. resulting in old immunity to the disease, which have already come into contact with the infectious agent but not showing recent herpes simplex infection. The significance level used as the acceptance or rejection criterion in the statistical tests was 5% (p <0,05). Conclusion: for patients in favor of oral-related problems, due to the xerostomia of patients undergoing hemodialysis and the immunosuppressants that are used by renal transplant patients, and in view of a poor oral hygiene profile, these patients need better attention, dentistry and the awareness that oral conditions may alter its systemic condition.