It has been stated that one of the chronic diseases that has increased rapidly with the increase in the elderly population in Turkey and in the world is kidney disease. Giving information about kidney disease, Lecturer. See. Şenay Öztürk said that while many studies are being carried out to prevent chronic diseases or to increase the quality of life of people by controlling existing ones, oral hygiene has an important effect on the course of chronic diseases when recent studies are examined.


Emphasizing the critical importance of the bilateral relationship between oral hygiene and the kidneys, Öztürk said, “The role of the lack of oral hygiene in this relationship is a mechanism that starts with the activation of the immune system by the bacteria in the mouth. In this process, it occurs with the initiation of infection in the affected system and the triggering of cytokine release. Due to cytokines, infection causes dysfunction and loss of function by affecting many organs and systems in the body. Kidneys are among the organs that can be affected. The aim of paying attention to oral hygiene is to prevent the formation of infection and to reduce the body’s inflammation load,” he said.

”ATTENTION TO Calculus and Gingival Inflammations”

Öztürk explained why people with chronic kidney failure should pay attention to their oral hygiene with the following words:

“First of all, if we define kidney failure, it is a disease characterized by the fact that the waste parts of the products that can create many wastes such as the drugs they eat, drink and use in the bodies of individuals with kidney failure cannot be removed from their bodies and take place in the circulation. Some of the waste products that cannot be removed from the body cause negative effects in the oral cavity. Urea is the leading factor affecting other systems in patients with chronic kidney disease. Since urea cannot be removed from the body regularly and is included in the systemic circulation, it causes the balance in the mouth to tend towards alkaline. Although the basic structure in the mouth prevents the formation of caries by causing the bacteria to die, neutralize their acidic products and disrupt their living spaces, it has a negative effect on the gums. The reason for this is that disorders such as the increase of parat hormone in the blood disrupt the balance in calcium absorption and increase the calcium level in the saliva, increasing the formation of calculus, thus paving the way for the development of gingivitis. Another effect is the occurrence of mineral structure disorder (enamel hypoplasia) in the teeth. In addition to urea; Another reason for the negativities in the oral cavity is the drugs (anticoagulants, calcium channel blockers, antiphosphates and immunosuppressive) used by dialysis patients.


Emphasizing the need to increase cooperation and awareness among health professionals at the point of treatment, Öztürk said, “Like many diseases, chronic kidney disease also progresses insidiously and when it reaches the final stage, it occurs when people consult a doctor due to other disorders (such as anemia, fatigue, frequent urination at night). is a table. However, the disease may show symptoms until it reaches this stage. At this stage, our dentists have a very important mission. If their awareness is high, they can make a preliminary diagnosis and direct them to the necessary units. If we look at what these symptoms are, as we mentioned, many metabolic wastes and especially urea cannot be removed from the body, so people’s breath smells like urea and ammonia,” he said.


Öztürk said that directing the patient to the appropriate unit would be life-saving and would have a very positive impact on the patient’s life, especially if the dentists distinguish between the ammonia and urea odor in the breath of the patients during the intervention, or if they are faced with a picture of gingival edema-bleeding that does not go away despite all the interventions and drug treatment. He added that there will be

Underlining that in most of the diseases, results are achieved with early diagnosis, Öztürk finally said:

”One of the most important points that individuals with chronic diseases should pay attention to; oral hygiene. Because bacteria in the oral environment can settle in the bloodstream and other organs, and poor oral hygiene will result in tooth loss and adversely affect their quality of life. For this reason, let’s care about hygiene to live a healthy and quality life.

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