Association between Dental Scores and Saliva Uremic Toxins.

Toxins (Basel)

Service de Pharmacologie-Toxicologie, Hôpital Raymond Poincaré, AP-HP, 92380 Garchesy, France.

Published: November 2023

AI Article Synopsis

  • - This study explores the link between dental health issues and uremic toxins in saliva among patients with chronic kidney disease (CKD), focusing on stages 2 to 5 without kidney replacement.
  • - Researchers analyzed concentrations of eight uremic toxins and three of their precursors using advanced techniques (LC-MS/MS) in the saliva of 88 CKD patients.
  • - The findings revealed associations between various dental health indicators and specific uremic toxins in saliva, highlighting the need for further studies to validate these results.

Article Abstract

Dental health is frequently altered in patients with chronic kidney disease. We conducted a prospective study on dental health in CKD patients with a specific interest in the association between dental health issues and the accumulation of uremic toxins in the saliva. A total of 88 patients were included in the study, with chronic kidney disease stage 2 to 5 (without kidney replacement). We analysed the total concentrations of eight uremic toxins (trimethylamine N-oxide -TMAO-, Indoxyl Sulfate, P-cresyl-sulfate, Indole 3-acetic acid, 3-carboxy-4-methyl-5-propyl-2-furanpropanoic acid -CMPF-, Kynurenine, Hippuric acid and Phenylacetylglutamine) and three precursors of uremic toxins (Tyrosine, Phenylalanine and Tryptophan) in the saliva using LC-MS/MS. We observed, for the first time, the association between various dental scores: DMFT, FST, CPITN, and OHIS, and saliva uremic toxins and precursors: TMAO, indoxyl sulfate, or hippuric acid. Further prospective interventional studies are required to confirm our results.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10674306PMC
http://dx.doi.org/10.3390/toxins15110666DOI Listing

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