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Title:	Oral health status in children with chronic renal failure
Authors:	Wan Nor Aziani Mohd Azmi (P57837)
Supervisor:	S. Nagarajan, Lt. Col. Dr.
Keywords:	Oral health Chronic renal failure Kidney failure Dissertations, Academic -- Malaysia Universiti Kebangsaan Malaysia -- Dissertations
Issue Date:	31-Mar-2014
Description:	This case controlled study aimed to assess oral health status in children with chronic renal failure. Thirty two chronic renal failure patients aged six to sixteen years who attended dialysis unit and nephrology clinic, Kuala Lumpur Hospital were recruited in the study. Thirty five systemically healthy children of the same age group were assigned to the control groups. Clinical examination was carried out to determine the dental caries experience, oral hygiene status and gingival condition in both groups. Resting saliva was used for salivary pH measurement whereas stimulated saliva was obtained to measure quantity of saliva and buffering capacity. Saliva test for pH and buffering capacity analysis were determined using saliva testing kit, GC Saliva Check Buffer (GC Asia Dental Pte Ltd). No statistically difference was found in the mean values of both primary and permanent dentition (dft, p=0.69 and DMFT, p=0.16), Simplified Debris Index (DI-S, p=0.21) and Modified Oral Hygiene Index (MGI, p=0.22) between the chronic renal failure and control groups. However, the differences were statistically significant in Simplified Calculus Index (CI-S, p=0.001), Simplified Oral Hygiene Index (OHI-S, p=0.01) and salivary flow rate (SFR, p<0.0005) between the two groups. As for salivary pH (SpH) and buffering capacity (SBC), no significant difference was found between the patients with CRF and the healthy controls (p=0.31 and p=0.06, respectively). Although CRF children with high buffering capacity has significantly higher MGI than those with low buffering capacity (p=0.03), there was no significant association found between caries experience and oral hygiene status with salivary parameters (SpH, SFR and SBC) in both groups. In summary, caries experiences and gingival inflammation in children with chronic renal failure was comparable with controls, although association between inflamed gingival and high buffering capacity was evident. Furthermore, chronic renal failure children have high calculus deposition with low salivary flow rate that lead to poor oral hygiene. Therefore, preventive programmes and oral hygiene awareness among these children should be implemented from an early age in order to improve their overall oral health.,Kajian kes kawalan bertujuan untuk menilai status kesihatan mulut kanak-kanak yang mengalami kegagalan buah pinggang kronik. Tiga puluh dua orang pesakit yang mengalami kegagalan buah pinggang kronik yang berumur 6-16 tahun yang menghadiri unit dialisis dan klinik nefrologi, Hospital Kuala Lumpur telah diambil dalam kajian ini. Tiga puluh lima orang kanak-kanak yang sihat sistemik dalam kumpulan umur yang sama telah digolongkan kepada kumpulan kawalan. Pemeriksaan klinikal telah dijalankan untuk menentukan pengalaman karies gigi, status kebersihan mulut dan keadaan gingiva dalam kedua-dua kumpulan. Air liur dalam keadaan rehat telah digunakan untuk mengukur pH air liur manakala air liur dirangsang telah diperolehi untuk mengukur kuantiti air liur dan kapasiti buffer. Ujian air liur bagi pH dan analisis kapasiti buffer telah ditentukan dengan menggunakan kit ujian air liur, GC Saliva - Check Buffer (GC Asia Dental Pte Ltd). Tiada perbezaan statistik didapati dalam nilai min pergigian primer dan sekunder (dft, p=0.69 dan DMFT, p=0.16), Simplified Debris Index (DI-S, p=0.21) dan Modified Gingival Index (MGI, p=0.23) di antara kumpulan kegagalan buah pinggang kronik dan kumpulan kawalan. Walaubagaimanapun, terdapat perbezaan yang signifikan secara statistik dalam Simplified Calculus Index (CI-S, p=0.001), Simplified Oral Hygiene Index (OHI-S, p=0.01) dan kadar aliran air liur (SFR, p<0.0001) di antara kedua-dua kumpulan. Bagi pH air liur (SPH) dan kapasiti buffering (SBC), tiada perbezaan ketara didapati di antara pesakit yang mengalami kegagalan buah pinggang kronik dan kawalan yang sihat (p=0.31, p=0.06, masing-masing). Walaupun kanak-kanak yang mengalami kegagalan buah pinggang kronik mempunyai kapasiti buffer yang tinggi, MGI jauh lebih tinggi daripada mereka yang mempunyai kapasiti buffering yang rendah (p=0.03), tidak ada hubungan yang signifikan didapati antara pengalaman karies gigi dan satus kebersihan mulut dengan ciri-ciri air liur (pH, kadar aliran dan kapasiti buffer air liur) dalam kedua-dua kumpulan. Secara ringkasnya, pengalaman karies gigi dan keradangan gingiva kanak-kanak dengan kegagalan buah pinggang kronik adalah setanding dengan kawalan, walaupun hubungan antara kapasiti buffer yang tinggi dengan keradangan gingiva adalah jelas. Tambahan pula, kanak-kanak yang mengalami kegagalan buah pinggang kronik mempunyai pemendapan kalkulus tinggi dengan kadar aliran air liur yang rendah membawa kepada kebersihan mulut yang teruk. Oleh itu, program-program pencegahan dan kesedaran kebersihan gigi di kalangan kanak-kanak ini perlu dilaksanakan dari peringkat awal dalam usaha untuk meningkatkan kesihatan mulut mereka secara menyeluruh.,Doctor in Clinical Dentistry (Paediatric Dentistry)
Pages:	65
Call Number:	WU113.W2450o 2014 9 tesis
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Dentistry / Fakulti Pergigian

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