Portal de Periódicos da CAPES

Periodontal status in patients before and after renal allotransplantation

1985; Wiley; Volume: 20; Issue: 2 Linguagem: Inglês

10.1111/j.1600-0765.1985.tb00430.x

1600-0765

Tore Tollefsen, Jan R. Johansen,

Oral microbiology and periodontitis research

Sixty‐five dentate prospective and renal transplant patients, aged 17 to 68 years, were examined. Thirty‐two patients had uremia, while 16 patients were on hemodialysis. The transplant group comprised 32 patients maintained on an immunosuppressive regimen, of whom 15 persons were recruited from the first two groups. The number of bleeding gingival units (GI=2) was significantly (p<0.05) associated with the presence of dental plaque in all groups. The transplant recipients had significantly (p<0.05) less dental plaque than the other two groups. The mean gingivitis score was highest among the uremic patients (p<0.05). The groups were similar regarding the number of existing teeth, pocket depth, and radiographic alveolar bone height. However, groups formed according to systemic diseases showed that patients with diabetes had suffered from significantly (p<0.05) more alveolar bone loss than the other patients. Eleven prospective and 18 transplant recipients were re‐examined from 1/2 to 6 years later. Within groups, pocket depths, plaque, and gingivitis scores had not changed significantly. Twenty‐six such patients had been followed for 81±34 months. The mean yearly rate of radiographic bone loss did not change significantly during chronic renal failure. The results indicate that periodontal disease is not aggravated under reduced immunocapacity.