Title: Kidney Disease, Increased BMI, and Restorations on Anterior Maxillary Teeth
Caroline Littlejohn (Presenter)
University of Pittsburgh
Alexandre Vieira, University of Pittsburgh
Objectives: Since enamel defects are more commen in individuals with developmental kidney disorders, we tested if individuals with chronic disease have more restoratations in anterior maxillary teeth.
Methods: Using the Dental Registry and DNA Repository project’s database, statistics on patients’ oral conditions were compared based on systemic conditions. This research was carried out in three parts. The initial was to study the relationship between restoration frequency and kidney disease. The second was to explore the relationship between Body Mass Index (BMI) and restoration frequency. The third was to connect the previous two explorations through studying the relationship between BMI and kidney disease.
Results: From the initial experiment, it was found that there was a correlation between kidney disease and increased restoration frequencies. In addition, when the second portion was analyzed, there was a positive relationship between patients’ BMI and their restoration frequency. Lastly, there was a correlation between higher BMI and kidney disease.
Conclusions: Patients who have kidney disease will more often need anterior composite resin restorations that are possibly surrogates of enamel aesthetic concerns or higher caries experience, as compared to the total population of patients in the study. Patients who have higher BMIs tend to have higher restoration frequencies. We found a correlation between kidney disease and patients’ BMI. The identification of individuals with “caries predisposing enamel” not only would allow for personalizing preventive strategies, but also provide support for the popular belief of a correlation between “weak teeth” and having many “cavities.”