Journal of Dental Medicine

Statement of Problem: Rapid increases in the population of hemodialyzed patients induce the dentists to acquire a complete understanding of the special therapeutic considerations for such patients.

Purpose: The goal of this research was to study the amount of DMF in hemodialyzed patients, age ranging from 12-20 years, in the city of Tehran.
Materials and Methods: In this cross- sectional and analytic- descriptive research, 50 kidney patients (27 mail and 23 females), with the age range of 12-20 years were selected. They had referred to one of the following hospitals for hemodialysis: Imam Khomeini, Children Medical Center Fayyazbakhsh, Haft-e-Tir, Ashrafi Esfahani, Labafinejad and Hasheminejad. The data, based on clinical examination, patient's answers, patient's medical files, parents replies, were collected and analyzed by Chi- Square test.

Results: The average DMF, for. patients under study was 2.46, comparing to the normal subjects of the society, no significant difference was observed. Factors such as sex, Mother's education, oral hygiene and the number of daily brushing did not show any statistically significant difference about this index. The results also showed a 38% prevalence of severe gingivitis and 32% of moderate gingivitis.

Conclusion: This restricted study emphasizes the necessity to use proper preventive methods and to improve the patient's and parents' knowledge about oral and dental health.

Statement of Problem: Hemodialytic patients may be exposed to periodontal diseases during treatment. No information of any kind is available regarding the periodontal treatment needs of such patients.

Purpose: The aim of the present study was to determine the periodontal treatment needs of hemodialytic patients, living in Tehran, to be presented to the public health system.

Materials and Methods: In this descriptive study using CPITN index 75 patients according to multi-stage sampling method and in proportion to the number of patients in Tehran were selected. Following necessary training, qualified subjects were chosen and a special questionnaire was completed for each using personal protection, CPITN index, by WHO prob, was examined and numbered according to (0-4) codes. Results: The findings showed that 10.6% of the patients had normal periodontal status (Code-0), 12% of the patients had bleeding upon probing (code-1), 21.4% had calculus (Code-2), 21% of the patients had shallow pockets (Code-3) and 24% had deep pockets. It was also shown that 89.4% of the patients needed oral hygiene instruction, 77.4% needed scaling and 24% required advanced periodontal treatments whereas only 10.6% did not need any treatment.

Conclusion: No statistically significant relationship was found between periodontal status and factors such as age, sex, the history of hemodialysis treatment and level of patients’ education.