Salud oral en pacientes con insuficiencia renal crónica hemodializados después de la aplicación de un protocolo estomatológico

Abstract

Objective: To evaluate the oral health of patients with chronic renal failure (CRF) under hemodialysis treatment before and after applying a dental care protocol based on the evidence in a renal unit in the city of Cartagena. Methodology: A quasi-experimental study with 120 patients, a survey determined the sociodemographic characteristics and information they had about CRF association with oral lesions. Subsequently it was performed a clinical examination and applied management protocol, with subsequent monitoring dental changes resulting determining clinical. The information was condensed by statistical package Epi Info version 5.0 and performed a descriptive analysis of nominal and ordinal variables. After 3 months, implemented a new clinical assessment to determine changes. Were evaluated the effect of intervention by the McNemar test statistic. Results: In the initial evaluation were diagnosed on average 7 lesions per patient associated with dental injuries and at the reevaluation time 3 months (p<0.001) after implementation of the protocol, was identified prevalence of injuries directly associated with CRF as xerostomia, pale mucous membranes, taste and uremic odor and other injuries associated with CRF, such as high levels of plaque, calculus, caries and root fragments. None patient was healthy, only demonstrated improvement in existing lesions. Conclusion: Patients with CRF undergoing hemodialysis require the maintenance of proper oral health for indirectly improving their quality of life. Stomatological management protocol is beneficial in oral health of patients with CRF positive effects on basic systemic disease.