Comparison of Systemic Oral Malodor in Patients Undergoing Hemodialysis and Peritoneal Dialysis

Year 2014, , - 2, 01.12.2014

Taner Arabacı Gülnihal Emrem Doğan Mustafa Keles Alper Kızıldağ

https://doi.org/10.15197/sabad.1.11.82

Abstract

Chronic renal failure is one of the major cause of systemic oral malodor depending on uremia. Hemodialysis(HD) and periotoneal dialysis (PD) are the important procedures in the management of patients with end-stage renal disease(ESRD). In this study it was aimed to compare the systemic oral malodor in patients undergoing HD and PD. 74 patients (40 HD and 34 PD) recently diagnosed with ESRD were selected. This study were not included the patients with poor oral hygiene and had oral malodor depending on any intraoral etiology such as caries, periodontal disease and impacted teeth. Oral hygiene index(OHI) scores of the patients were calculated in to order assess oral health. Systemic oral malodor of the patients were calculated in order assess oral health. Systemic oral malodor of the patients were evaulated using organoleptic method. All measurements were performed pre-dialysis and post-dialysis (3 months after therapy) procedures. There were no statistically significant difference between the groups according to OHI scores (p>0.05). The Oral malodor scores were found lower at post dialysis measurement than the baseline measurements in both group(p

Keywords

Halitosis, hemodialysis, peritoneal dialysis

Comparison of Systemic Oral Malodor in Patients Undergoing Hemodialysis and Peritoneal Dialysis

Abstract

Kronik böbrek yetmezliği üremiye bağlı kötü ağız kokusu oluşturan sebeplerin başında gelir. Hemodiyaliz (HD) ve periton diyalizi (PD) son dönem böbrek yetmezliği (SDBY) hastalarının idamesinde önemli tedavi prosedürlerindendir. Bu çalışmada HD ve PD terapisindeki hastaların kötü ağız kokularının karşılaştırılması amaçlanmıştır. Çalışmamıza SDBY teşhisi konulan 74 hasta (40 HD ve 34 PD) dahil edildi. Ağız hijyeni zayıf ve intraoral sebeplerden dolayı kötü ağız kokusu oluşturabilecek, çürük, periodontal hastalık ve kalmış kökleri olan hastalar çalışmaya dahil edilmedi. Oral hijyen indeksi (OHI) hastaların oral sağlık durumlarının değerlendirilmesi için kaydedildi. Hastaların sistemik nedenli kötü ağız kokusu oral sağlığın değerlendirilmesi için kaydedildi. Hastalarda sistemik nedenli kötü ağız kokusu seviyesi organoleptik metodla ölçüldü. Bütün ölçümler hastalar diyaliz terapisi almaya başlamadan ve diyaliz terapisinden 3 ay sonra gerçekleştirildi. Hastaların OHI istatistiksel olarak anlamlı farklılık göstermemekteydi (p>0,05). Her iki grubun kötü ağız kokusu skorları diyaliz terapisinden sonra diyaliz terapisinden önceki değerlerine göre anlamlı derecede azalma gösterdi (p<0,05). Organoleptik metodla ölçtüğümüz sistemik nedenli kötü ağız kokusu skorlarının HD grubunda (2,67±0,81) PD grubuna göre daha yüksek olduğu görüldü (1,98±0,57) (p<0,05). Bu çalışma SDBY hastalarında PD terapisinin sistemik nedenli kötü ağız kokusunu azaltmada HD’ye göre daha etkili olduğunu göstermektedir

Keywords

Ağız kokusu, hemodiyaliz, periton diyalizi

References

• Levit B. Bad breath. J Am Dent Assoc 2003;134:682-4
• Tangerman A, Winkel EG. Intra- and extra-oral halito- sis: finding of a new form of extra-oral blood-borne halitosis caused by dimethyl sulphide. J Clin Periodont 2007;34(9):748-55.
• Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodontal Res 1992;27:233-8.
• Yaegaki K, Sanada K. Biochemical and clinical factors influencing oral malodor in periodontal patients. J Periodont 1992;63(9):783-9.
• Morita M, Wang HL. Relationship between sulcular sulfide level and oral malodor in subjects with periodontal dis- ease. J Periodont 2001;72(1):79-84.
• Morita M, Wang HL. Relationship of sulcular sulfide lev- el to severity of periodontal disease and BANA test. J Periodont 2001;72(1):74-8.
• Morita M, Musinski DL, Wang HL. Assessment of newly de- veloped tongue sulfide probe for detecting oral malodor. Journal of Clinical Periodontology 2001;28(5):494-6.
• Kleinberg I, Wolff MS, Codipilly DM. Role of saliva in oral dryness, oral feel and oral malodour. Intern Dental J 2002;52 Suppl 3:236-440.
• Hinode D, Fukui M, Yokoyama N, Yokoyama M, Yoshioka M, Nakamura R. Relationship between tongue coating and secretory-immunoglobulin A level in saliva obtained from patients complaining of oral malodor. J Clin Periodont 2003;30(12):1017-23.
• Verran J. Malodour in denture wearers: an ill-defined problem. Oral Dis 2005;11 Suppl 1:24-8.
• Liu XN, Shinada K, Chen XC, Zhang BX, Yaegaki K, Kawaguchi Y. Oral malodor-related parameters in the Chinese gen- eral population. J Clin Periodont 2006;33(1):31-6.
• Akcan AB, Boz AB, Oygucu SE, Turhan M, Dinc O. Halitosis. New J Med 2008;25:134-7.
• Quirynen M, Dadamio J, Van den Velde S, et al. Characteristics of 2000 patients who visited a halitosis clinic. J Clin Periodont 2009;36(11):970-5.
• Attia EL, Marshall KG. Halitosis. Canadian Medical Association journal 1982;126(11):1281-5.
• Rosenberg M. Bad breath, diagnosis and treatment. Univ Toronto Dental J 1990;3(2):7-11.
• Bollen CM, Rompen EH, Demanez JP. Halitosis: a mul- tidisciplinary problem. Revue medicale de Liege 1999;54(1):32-6.
• D. vS. Endocrinological aspects. In: van Steenberghe D, editorAdemgeur Houten: Prelum Uitgevers 2009: 107–15.
• Neville BW, Damm DD, Allen CM, JE B. eds. Oral and Maxillofacial Pathology. Philadelphia: W.B. Saunders Company; 2002: 728–44.
• Kho HS, Lee SW, Chung SC, Kim YK. Oral manifestations and salivary flow rate, pH, and buffer capacity in pa- tients with end-stage renal disease undergoing hemodi- alysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(3):316-9.
• Keles M, Tozoglu U, Uyanik A, Eltas A, Bayindir YZ, Cetinkaya R. Does peritoneal dialysis affect halitosis in patients with end-stage renal disease? Peritoneal dialysis international. Perit Dial Int 2011;31(2):168-72.
• Greene JC, Vermillion JR. The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc 1960;61:29-35.
• Rosenberg M, McCulloch CA. Measurement of oral mal- odor: current methods and future prospects. J Periodontol 1992;63(9):776-82.
• Bollen CM, Beikler T. Halitosis: the multidisciplinary ap- proach. Int J Oral Sci 2012;4(2):55-63.
• Dal Rio AC, Nicola EM, Teixeira AR. Halitosis--an assess- ment protocol proposal. Brazilian J Otorhinolaryngol 2007;73(6):835-42.
• Tonzetich J. Production and origin of oral malodour: a review of mechanisms and methods of analysis. J Periodontol 1977; 48(1):13-20.
• van den Broek AM, Feenstra L, de Baat C. A review of the current literature on management of halitosis. Oral Dis 2008;14(1):30-9.
• Tessier JF, Kulkarni GV. Bad breath: etiology, diagnosis and treatment. Oral Health 1991;81(10):19-22, 4.
• Clark GT, Nachnani S, Messadi DV. Detecting and treat- ing oral and nonoral malodors. J California Dent Assoc 1997;25(2):133-44.
• Chuang SF, Sung JM, Kuo SC, Huang JJ, Lee SY. Oral and dental manifestations in diabetic and nondiabetic uremic patients receiving hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99(6):689-95.
• Epstein SR, Mandel I, Scopp IW. Salivary composition and calculus formation in patients undergoing hemodialysis. J Periodont 1980;51(6):336-8.
• Proctor R, Kumar N, Stein A, Moles D, Porter S. Oral and dental aspects of chronic renal failure. J Dent Res 2005;84(3):199-208.