Clinical oral investigations · 2026
Comparative ultrasonographic and clinical assessment of major salivary glands in patients with chronic kidney disease and healthy controls.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Kurt Selinay Sari, Yurttaş Melike, Tezcan Neslihan
Аннотация
AIM: The aim of this study was to compare the ultrasonographic characteristics and clinical findings of the major salivary glands between patients with chronic kidney disease (CKD) and healthy controls.
MATERIALS & METHODS: The study included 23 CKD patients undergoing dialysis and 20 healthy controls. The size and parenchymal homogeneity of the parotid and submandibular glands were evaluated using ultrasonography. Clinical assessments included the measurement of resting salivary flow rate, evaluation of xerostomia symptoms via the Xerostomia Inventory (XI), and determination of oral hygiene status using the DMFT index. Statistical analyses were conducted via Fisher's exact test, the independent samples t-test, the Mann Whitney U test, or the Kruskal-Wallis test.
RESULTS: The mean age of the CKD patients was 58 years, whereas that of the controls was 54 years. Approximate two-dimensional cross-sectional areas (ATCAs) of the parotid and submandibular glands were significantly greater in CKD patients (p < 0.05). Submandibular gland heterogeneity was greater in the patient group (p < 0.05). The salivary flow rate tended to be lower in CKD patients, whereas DMFT scores and XI scores were higher. (p = 0.678, p = 0.062, and p = 0.009, respectively). Multiple regression analysis revealed that, independent of age, the gland ATCAs were significantly greater in patients than in controls.
CONCLUSION: This study suggests that dimensional and structural changes may occur in the major salivary glands of CKD patients on dialysis. Significant differences in ATCAs of salivary glands and heterogeneity versus controls, independent of age, suggest that CKD may be associated with alterations in gland morphology. Although no significant differences were found in salivary flow rate or DMFT scores between groups, increased XI scores were observed in patients with CKD, suggesting a possible association between CKD and impaired oral health-related symptoms.
MATERIALS & METHODS: The study included 23 CKD patients undergoing dialysis and 20 healthy controls. The size and parenchymal homogeneity of the parotid and submandibular glands were evaluated using ultrasonography. Clinical assessments included the measurement of resting salivary flow rate, evaluation of xerostomia symptoms via the Xerostomia Inventory (XI), and determination of oral hygiene status using the DMFT index. Statistical analyses were conducted via Fisher's exact test, the independent samples t-test, the Mann Whitney U test, or the Kruskal-Wallis test.
RESULTS: The mean age of the CKD patients was 58 years, whereas that of the controls was 54 years. Approximate two-dimensional cross-sectional areas (ATCAs) of the parotid and submandibular glands were significantly greater in CKD patients (p < 0.05). Submandibular gland heterogeneity was greater in the patient group (p < 0.05). The salivary flow rate tended to be lower in CKD patients, whereas DMFT scores and XI scores were higher. (p = 0.678, p = 0.062, and p = 0.009, respectively). Multiple regression analysis revealed that, independent of age, the gland ATCAs were significantly greater in patients than in controls.
CONCLUSION: This study suggests that dimensional and structural changes may occur in the major salivary glands of CKD patients on dialysis. Significant differences in ATCAs of salivary glands and heterogeneity versus controls, independent of age, suggest that CKD may be associated with alterations in gland morphology. Although no significant differences were found in salivary flow rate or DMFT scores between groups, increased XI scores were observed in patients with CKD, suggesting a possible association between CKD and impaired oral health-related symptoms.