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Nephrol Nurs J. 2019 Jul-Aug;46(4):375-394.

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

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Nephrology Nurse Practitioner, West Virginia University Medicine, and PhD candidate, West Virginia University School of Nursing, Morgantown, WV.
PhD student in Department of Epidemiology, West Virginia University School of Public Health, Morgantown, WV.
Associate Dean for Research, West Virginia University School of Nursing, Morgantown, WV.


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.


chronic kidney disease; end stage renal disease; hemodialysis; oral health; periodontal disease

[Indexed for MEDLINE]

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