The Japanese Journal of Clinical Dialysis Vol.35 No.1(8-5)

Theme New perspectives in the management of patients with diabetes undergoing dialysis
Title Periodontal disease (a complication of diabetes): Prevention and treatment of periodontal disease in patients with diabetes undergoing dialysis
Publish Date 2019/01
Author Koji Inagaki Department of Dental Hygiene, Aichi Gakuin University Junior College / Department of Periodontology, School of Dentistry, Aichi Gakuin University
[ Summary ] Periodontal diseases are infections caused by anaerobic bacteria, which trigger an inflammatory response. Diabetes as a risk factor for periodontal disease and periodontal diseases are associated with several medical conditions including diabetes mellitus and its complications (kidney disease, retinopathy, and/or neuropathy). Periodontal disease is associated with increased mortality in the general population; however, the association between periodontal disease, chronic kidney disease (CKD) and hemodialysis is unknown. It is highly probable that periodontal disease may occur in patients during the early stages of CKD before the initiation of hemodialysis. Therefore, early diagnosis and treatment of periodontal disease and regular periodontal assessment in the period before the initiation of dialysis are important.
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