Uzma Ali, Ah Nagi, Nadia Naseem.
Oral manifestations of chronic kidney disease.
Pak Oral Dental J Jan ;35(3):352-5.

Current study was performed to evaluate the oral health status in patients with chronic kidney disease (CKD) on dialysis. This was a descriptive study. Hundred chronic kidney disease patients on dialysis were recruited in the study. Findings of the noninvasive oral examination and completed clinico demographic profile were recorded. Out of hundred patients, 53 were males and 47 were females. Mean age of patients was 51.16 ± 15.09 years with age range of 22 to 83 years. On oral examination, oral hygiene was found to be poor in 47 patients, moderate in 52 and good only in one patient. Xerostomia was present in 87% patients followed by thickened mucosa (12%) , angular cheilitis (29%), periodontitis (41%), gingivitis (17%), tooth erosion (40%), tooth mobility (38%), ammonia like odour (Uraemic fetor) (45%), coated tongue (17%) , mucosal pallor (37%), metallic taste (48%) and mucosal pigmentation (20% ). Regular oral/dental checkup/referral is needed for the better oral health in these patients and that will improve the compliance to oral drug therapy which in turn will promote the quality of life of CKD patients on dialysis with minimal complications.

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