Orofacial Disorders of Patients with End Stage Renal Disease Undergoing Haemodialysis

• Main Authors: Yohana Gowara (Author), Afi Sarsito (Author), Parlindungan Siregar (Author), Yuniardini S Wimardhani (Author)
• Format: Book
• Published: Faculty of Dentistry, Universitas Indonesia, 2015-05-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1693-9697; 2355-4800; 10.14693/jdi.v21i3.262
• Keywords: end stage renal disease; oral mucosa; orofacial disorder; saliva; Dentistry; RK1-715
• Source: Journal of Dentistry Indonesia, Vol 21, Iss 3, Pp 69-78 (2015)

<p>Several orofacial disorders in patients with end stage renal disease (ESRD) undergoing hemodialysis have been reported. However, up to the present, particularly in Indonesia, such data still limited. <strong>Objective:</strong> the purpose of this study was to assess the orofacial disorders in patients with ESDR undergoing hemodialysis at Cipto Mangunkusumo Hospital, Indonesia. <strong>Methods:</strong> The study was conducted through observation using a cross-sectional design. The subjects were selected by consecutive sampling. Ninety-three patients fulfilled the inclusion criteria and enrolled in this study. They participated in the structural interview-using questionnaire assessing subjective complaints; clinical examinations; and salivary measurements. <strong>Results:</strong> Xerostomia (82.8%) dysgeusia (66.7%), metal taste (57%), perioral anesthesia (24.7%) were the common symptoms. Clinical findings consisted of tongue coating (100%), calculus deposits (97.8%), pallor of oral mucous (94.6%), sialosis (75.3%), uremic odor (40,9%), haemorrhagic spot (39.8%), angular cheilitis (37.7%), gingival bleeding (15.1%), and oral candidiasis (3.2%) were also found. Salivary changes showed the increase of salivary viscosity (86%), pH (80.6%), buffer capacity (76.3%) whereas decrease of mucous hydration level (79.6%) and the flow rates of unstimulated (22.6%) and stimulated (31.2%) whole saliva were observed. <strong>Conclusion:</strong> The findings of orofacial disorders required attention and further comprehensive management to enhance the quality of life of patients with ESDR.</p><p>DOI: <span>10.14693/jdi.v21i3.262</span></p>