QUALITY OF ORAL HEALTH IN PATIENTS ON STANDARD HEMODIALYSIS AND PATIENTS ON HEMODIAFILTRATION
QUALITY OF ORAL HEALTH IN PATIENTS ON STANDARD HEMODIALYSIS AND PATIENTS ON HEMODIAFILTRATION

Summary/Abstract: Oral hygiene in patients undergoing hemodialysis is inadequate, as indicated by the large number of data from the literature. Every dentist working with these patients should focus on raising patients' self-awareness of the importance of their oral health and maintaining oral hygiene.The aim of this research is to make a comparison of oral health in patients with terminal chronic kidney disease who are on a standard hemodialysis program and on hemodiafiltration. The examined sample includes a total of 75 adult patients with Chronic Kidney Disease stage 5, on a chronic hemodialysis program. The patients are divided into two groups: standard hemodialysis patients and hemodiafiltration patients. A questionnaire was used for the preparation of this research. From the obtained results we can conclude: the patients treated with hemodiafiltration visited the dentist insignificantly more often. The state of oral health is associated with the state of the kidneys insignificantly more often by patients on hemodiafiltration treatment and patients on HD treatment. Patients from both groups usually brush their teeth with fluoride paste. Patients treated with hemodiafiltration rated their oral health as good and had pain in the mouth or teeth significantly more often than patients treated with standard hemodialysis. Patients treated with HDF had dry mouth, chewing difficulties and impaired taste significantly more often. The difference between smokers in the groups was at the border of statistical significance, and the difference in alcohol consumption once a week or more between patients with hemodiafiltration and patients treated with classical hemodialysis treatment did not show a statistically significant difference. Patients from both groups did not differ significantly in terms of the quality of oral health, that is, the type of hemodialysis modality has no significant impact on the quality of life in terms of oral health.

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