OBJECTIVE: The aim of this cross-sectional study was to evaluate the association between periodontitis and different severities of chronic kidney disease (CKD) in predialytic patients. MATERIALS AND METHODS: Demographic, socioeconomic, and medical data of 139 patients from the nephrology service of one university hospital in Porto Alegre, Brazil, were obtained through interview and clinical records. Full-mouth six-sites per tooth periodontal examinations were performed. Associations between periodontitis, stages of CKD, and estimated glomerular filtration rate (eGFR) were estimated by multivariable models adjusted for sex, smoking, vitamin D supplementation, physical activity, and renal treatment duration. CKD was classified based on eGFR (<60 ml/min/1.73 m(2) ) estimated by the Chronic Kidney Disease Epidemiology Collaboration equation. RESULTS: Patients with severe periodontitis, compared to those without severe periodontitis, had 2.8 (95% CI: 1.25-6.62) and 3.4 (95% CI: 1.27-9.09) times higher risk of being in stages 4 and 5 of CKD, respectively. Having >/= 2 teeth with clinical attachment loss (CAL) >/=6 mm increased 3.9 times the risk of being in stage 5 of CKD. Patients with severe periodontitis and >/=2 teeth with CAL >/= 6 mm had 4.4 ml/min/1.73(2) and 5.2 ml/min/1.73(2) lower eGFR (p-values < .05), respectively. CONCLUSION: Severe periodontitis was associated with poor renal conditions in predialytic CKD patients, strengthening the importance of periodontal evaluation in such patient population.
Schutz, Jasper da Silvade Azambuja, Carolina BarreraCunha, Giuliano ReolonCavagni, JulianoRosing, Cassiano KuchenbeckerHaas, Alex NogueiraThome, Fernando SaldanhaFiorini, Tiagoeng150319/Hospital de Clinicas de Porto Alegre160428/Hospital de Clinicas de Porto AlegreDenmarkOral Dis. 2020 Mar;26(2):447-456. doi: 10.1111/odi.13236. Epub 2019 Dec 5.