Document Type

Article

Publication Date

2023

Abstract

The present study aimed to investigate the influence of both end-stage renal diseases (ESRD) and hypertension (HTN) on the various oral manifestations and periodontal condition, to evaluate and compare the oral manifestations and periodontal health status in hypertensive patients with ESRD versus control, and to explore any possible correlation of the oral findings with systemic disease status. This was a cross-sectional study which included two equal groups of patients, Group I were hypertensive patients with ESRD and Group II were hypertensive patients only. All patients were hypertensive and were on antihypertensive medications. Regarding the incidence of oral lesions in both groups, a substantially higher proportion of cases in ESRD group had xerostomia, burning sensation, and altered taste (p<0.05). In addition, significantly higher proportion of cases in hypertensive group with ESRD group had stages (III) and (IV) periodontitis, while significantly higher proportion of cases in the hypertension group without ESRD had stages (I) and (II) (p<0.001). For gingivitis and lichenoid reaction, there was no meaningful difference between both groups (p>0.05). In the current study hypertensive patients with ESRD had a significantly higher prevalence of oral manifestations as xerostomia, burning sensation, and altered taste sensation, and were affected by more severe stages (III and IV) of periodontitis than HTN patients indicating the powerful influence of ESRD comorbidity on oral health. HTN and ESRD are closely connected systemic diseases with a high burden of oral manifestations especially when they occur concomitantly.

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