The unfavorable influence of oral health on pre-kidney-transplant patients' quality of life
Paulo da Silva Santos1, Natalia G. Santaella1, Aloizio P. Maciel1, Guilherme Simpione1.
1Department of Surgery, Stomatology, Pathology and Radiology, Bauru School of Dentistry of University of São Paulo, Bauru, Brazil
Commission of Dentistry of the Brazilian Association of Organ Transplantation (ABTO).
Introduction: In order to perform kidney transplantation (KT), there is a need for interprofessional health action in the recipient's preparation and adequacy. One of the important prerequisites for greater chances of success in KT is these individuals' oral health, which reduces the risk of odontogenic and secondary infections during and after transplantation. Furthermore, the state of one's oral health has an impact on one's overall quality of life, which can jeopardize the recipient of KT.
Aim: The goal of this study was to assess the oral health of pre-transplant patients and its impact on quality of life.
Method: Pre-RT patients were examined and a convenience sample was used in this cross-sectional investigation. To assess the impact of oral health, the following variables were assessed: dental caries activity (DMFT), oral dental plaque index (PI), gingival bleeding index (GBI), dental calculus, periodontal pocket depth 4-5mm, gingival index (GI), upper denture use (UDS) and lower denture use (LDU), need for upper denture use (NUDU) and need for lower denture use (NLDU), tongue coating index (TCI), halitosis, the presence of tongue coating, hyposalivation, and the OHIP-14 questionnaire were used to assess the impact of oral health on quality of life, and the results were analyzed using descriptive statistics.
Results: The results showed that a total of 14 people (100%) were evaluated, with an average age of 49.64 13.35 years. We discovered mean values of 1.07 for GBI, 1 for dental calculus, 0.71 for periodontal pocket depth between 4-5 mm, 0.56 for GI, 0.79 for UDS and LDU, 1.21 for NUDU, and 1.14 for NLDU for the analyzed variables. The individuals had at least one decaying, lost, or filled tooth (DMFT) and dental plaque, with high mean values of 7.64, 20.5, and 1.8. All of the participants exhibited tongue coating and oral halitosis (sulfide), as well as 8 (57.14%) hyposalivation, which increased the risk of oral opportunistic infections. In all dimensions assessed, the impact of oral health on quality of life was negative, ranging from weak to moderate, and the sum of the dimensions had a moderate total impact.
Conclusion: Pre-transplant patients have poor oral health, which has a negative impact on their quality of life, particularly in terms of salivary flow and the risk of oral opportunistic infections. These findings show that pre-KT oral adequacy support from the interprofessional transplant team is required.This study was approved by the Research Ethics Committee of the institution where it was carried out (CAEE 71651517.9.000.5417).
Center of Clinical Research of Bauru School of Dentistry of University of São Paulo. Bauru State Hospital.
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