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Association between periodontitis and chronic kidney disease

期刊

PERIODONTOLOGY 2000
卷 89, 期 1, 页码 114-124

出版社

WILEY
DOI: 10.1111/prd.12431

关键词

Association; Chronic; Dialysis; Inflammation; Periodontitis; Renal insufficiency; Therapeutics

资金

  1. NIH/NIDDK [R21 DK108076]

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Periodontitis and chronic kidney disease are chronic conditions with shared risk factors, but the exact relationship between them remains debated. Improving oral hygiene and periodontal treatment may reduce the risk of developing chronic kidney disease, highlighting the importance of interprofessional collaboration in managing these conditions.
Periodontitis and chronic kidney disease are chronic conditions with high community prevalence across the world. Patients with chronic kidney disease have been noted to have a high burden of periodontitis, and several shared risk factors have been associated with the prevalence and severity of both conditions. However, the precise relationship between the two conditions, and the extent to which each may contribute to the development of the other, remains a matter of debate. The goals of the present work were to: (a) provide the most current and relevant literature overview of the association between periodontitis and chronic kidney disease; (b) explore mechanisms underlying this association; and (c) determine if evidence exists for an independent association between these conditions. We also assessed whether improved oral hygiene and periodontal treatment could reduce the risk of developing chronic kidney disease and, if so, what protocols these strategies involve. Finally, we aimed to reveal gaps in our current knowledge to delineate the directions of future research. Although the exact relationship between these two conditions has not yet been defined, we highlight the importance of the interprofessional interaction between dental practitioners and the nephrology team and the importance of oral health assessment in the management of chronic kidney disease.

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