Assessment of the oral health status of children with chronic kidney disease

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Sezer B., Kaya R., Kodaman Dokumacıgil N., Sıddıkoğlu D., Güven S., Yıldız N., ...More

PEDIATRIC NEPHROLOGY, vol.38, no.1, pp.269-277, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 38 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.1007/s00467-022-05590-6
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.269-277
  • Keywords: Chronic kidney disease, Oral health, Dental caries, Oral hygiene, Kidney transplantation, Developmental defects of enamel
  • Çanakkale Onsekiz Mart University Affiliated: Yes



There are various oral symptoms related to the disease and its management in individuals with chronic kidney disease (CKD). The aim of the study was to investigate the oral health status of children with different stages of CKD, kidney transplant recipients (KTR), and healthy children.


A total of seventy-one children diagnosed with CKD and fifty-two healthy children were included in the study. Each patient was examined for dental caries by the decayed-missing-filled-teeth (DMFT/dmft) index and the International Caries Detection and Assessment System (ICDAS-II), developmental defects of enamel (DDE) by the DDE index, and oral hygiene by the debris (DI), calculus (CI), and simplified oral hygiene (OHI-S) indices.


The median number of DMFT/dmft was 1.00 (interquartile range (IQR):1.00–4.00) in children with stage 1–3 CKD, 0.00 (IQR: 0.00–2.50) in stage 4–5 children, 0.00 (IQR: 1.00–3.00) in KTR, and 8.00 (IQR: 1.00–13.00) in healthy children. According to ICDAS-II categories, the percentage of children with severe caries was 53.8% in healthy children, while it was 44.4% in KTR, 25.9% in stage 1–3, and 11.4% in stage 4–5 children. While the percentage of children with DDE was 88.8% in KTR, 80% in stage 4–5, and 66.7% in stage 1–3 children, this rate was 44.2% in healthy children. The highest mean OHI-S score was observed in stage 4–5 children (2.10 ± 1.08), followed by KTR (1.46 ± 1.19), stage 1–3 (1.27 ± 0.61), and healthy children (0.45 ± 0.44), respectively.


Compared to healthy children, children with CKD had more debris accumulation, calculus formation, and more DDE but a lower severity of dental caries.