The Relationship Between Oral Health and Hemodialysis Treatment Among Adults with Chronic Kidney Disease: A Systematic Review

Adult patients on hemodialysis experience a high prevalence of poor oral health and periodontitis. The chronic inflammation associated with poor periodontal health can increase the risk of cardiovascular disease and mortality among patients on hemodialysis. A systematic review of research articles published from 2012-2018 was conducted to synthesize current literature on the subject. Forty-three articles were identified. Findings were summarized into two categories: clinical measurements and lifestyle/quality of life. We suggest the development, implementation, and evaluation of oral health nursing interventions and periodontal treatments among patients on hemodialysis. Key Words: Hemodialysis, chronic kidney disease, end stage renal disease, oral health, periodontal disease.
Currently, there are over 760,000 Americans who have been diagnosed with end stage renal disease (ESRD) (United States Renal Data System [USRDS], 2018). Of the 726,331 prevalent patients with ESRD [...]