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


Background: Chronic renal failure can give rise to a wide spectrum of oral manifestations, affecting the hard or softtissues of the mouth. The majority of affected individuals have disease that does not complicate oral health care. Themain aim of this study is to assess the response to therapy and to determine the radiographic manifestations in teethand jaws of individuals with chronic renal failure undergoing hemodialysis and to find possible preventive andtherapeutic strategies.Materials and methods: Thirty male patients with chronic renal failure who were continuously receiving therapy withongoing hemodialysis were included in this study and were divided into two subgroups according to the period oftherapy (those who had renal dialysis for less than a year, and 1 to 2 years). All patients were requested forpanoramic (OPG) radiographs with standardized parameters according to user manual of the machine thenquantify the frequency of abnormal dental and periodontal radiographic findings in both arches i.e. the alveolarbone resorption, presence of hypercementosis of the roots, lamina dura reduction or loss and dental condition, thenthe 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 periodontalradiographic findings as alveolar bone resorption, presence of hypercementosis of the roots, lamina dura reductionor loss, as well as other dental diseases.Conclusion: Panoramic radiographic view used in this study considers as a good monitor for jaw and dental changesassociated with patients affected with chronic renal failure treated with hemodialysis, and the results showed strongcorrelation between duration of hemodialysis and all studied variables. Clinicians should use oral health assessmenttools to determine individual treatment and approaches to promote the oral health of patients undergoinghemodialysis and improve their quality of life