KIDNEY DISEASE, INCREASED BODY MASS INDEXES, AND ANTERIOR TEETH TREATMENT NEEDS

Abstract

Objective: The purpose of this study was to test the hypothesis that individuals with kidney disease will have more dental issues affecting their anterior teeth. This effect on oral health would be independent from the effects of their higher frequency of obesity. Methods: Using the University of Pittsburgh School of Dental
Medicine Dental Registry and DNA Repository project, anterior teeth treatment history was evaluated for patients with kidney disease. Four thousand nine hundred and eighty-three individuals were evaluated. Individuals with kidney disease were compared to individuals who did not present the condition. Results: One hundred and three individuals reported kidney disease and 1,424 had history of treatment of anterior teeth. Individuals with kidney disease had significant more anterior teeth treatments (p=0.001). Individuals who reported kidney disease also had a higher frequency of overweight individuals, but anterior teeth restoration needs were higher in all individuals with kidney disease, independent of their body mass index. Conclusion: Chronic kidney disease increases treatment needs of anterior teeth and potentially leads to worse oral health outcomes and warrants changes in protocols for treatment of individuals with chronic kidney disease.