MEDEIROS, S. A.; http://lattes.cnpq.br/1002069742686694; MEDEIROS, Sivanilson de Assis.
Resumo:
The objective of this study was to determine the clinical and oral health conditions of
chronic renal patients submitted to hemodialysis in the city of Patos-PB, Brazil. For
data collection, a detailed anamnesis was performed, with oral clinical examination,
blood pressure measurement, digital oximetry, sialometry with a graduated cylinder at
0.1 mL and data collection in the medical records, all data were recorded in the
instrument. collect. Thirty-five patients with a diagnosis of chronic renal failure
participated in the study. According to the data, the majority were men (n = 23;
51.1%), with a mean age of 51.02, ranging from 22 to 80 years. The mean duration of
nephropathy was 6.54 years, ranging from 0.08 to 59 years, and the two main causes
for nephropathy were hypertension (n = 19, 42.2%) and diabetes (n = 6; , 3%). The
mean values of systolic and diastolic arterial pressures were indicative of arterial
hypertension. The prevalence of xerostomia and hyposalivation were, respectively,
60.0% (n = 27) and 24.4% (n = 11). The results of the laboratory tests showed that the
mean values of urea (M = 115.96), calcium (M = 10.36) and phosphorus (M = 4.84)
and glycemia (M = 158.05) were elevated. Regarding the hemoglobin and hematocrit
values, the mean values were below the reference limits. The most prevalent
comorbidities and risk factors were: hypertension (n = 31, 68.9%), stress (n = 25,
55.6%), smoking (n = 18, 40.0% 14, 31.1%) and cardiopathies (n = 14, 31.1%). There
was a statistically significant association between hyposalivation and diabetes (p =
0.02). The proportion of hyposalivation was significantly higher among patients with
diabetes (n = 7; 50.0%) compared to those without diabetes (n = 4; 12.9%). The
patient with Chronic Renal Disease needs special attention in dental care because
many oral complications may arise from Chronic Renal Disease itself or from
comorbidities such as hyposalivation.
