Radiographic findings of oral and dental aspects of chronic renal failure of Iraqi patients under hemodialysis therapy

الملخص EN

Background : Chronic renal failure can give rise to a wide spectrum of oral manifestations, affecting the hard or soft tissues of the mouth.

The majority of affected individuals have disease that does not complicate oral health care.

The main aim of this study is to assess the response to therapy and to determine the radiographic manifestations in teeth and jaws of individuals with chronic renal failure undergoing hemodialysis and to find possible preventive and therapeutic strategies. Materials and methods : Thirty male patients with chronic renal failure who were continuously receiving therapy with ongoing hemodialysis were included in this study and were divided into two subgroups according to the period of therapy (those who had renal dialysis for less than a year, and 1 to 2 years).

All patients were requested for panoramic (OPG) radiographs with standardized parameters according to user manual of the machine then quantify the frequency of abnormal dental and periodontal radiographic findings in both arches i.

e.

the alveolar bone resorption, presence of hypercementosis of the roots, lamina dura reduction or loss and dental condition, then the data were analyzed statistically by comparison with control normal subjects. Results : It has been established that the duration with the increase the abnormality in dental and periodontal radiographic findings as alveolar bone resorption, presence of hypercementosis of the roots, lamina dura reduction or loss, as well as other dental diseases. Conclusion : Panoramic radiographic view used in this study considers as a good monitor for jaw and dental changes associated with patients affected with chronic renal failure treated with hemodialysis, and the results showed strong correlation between duration of hemodialysis and all studied variables.

Clinicians should use oral health assessment tools to determine individual treatment and approaches to promote the oral health of patients undergoing hemodialysis and improve their quality of life.