A controlled study of oral self-care and self-perceived oral health in type 2 diabetic patients

Abstract

A controlled study was carried out in mid-Sweden with the aim of comparing oral self-care and self-perceived oral health in 102 randomly sampled type 2 diabetic patients with that of 102 age-and-gender-matched non-diabetic controls. Oral health variables were also related to glycemic control (HbA1c), duration, anti-diabetic treatment, and late complications. Questionnaires were used to collect data on oral self-care and self-perceived oral health. Diabetes-related variables were extracted from medical records. Eighty-five percent of the diabetic subjects had never received information about the relation between diabetes and oral health, and 83% were unaware of the link. Forty-eight percent believed that the dentist/ dental hygienist did not know of their having diabetes. Most individuals, but fewer in the diabetic group, were regular visitors to dental care and the majority felt unaffected when confronted with dental services. More than 90% in both groups brushed their teeth daily and more than half of those with natural teeth did proximal cleaning. Subjects in the diabetic group as well as in the control group were content with their teeth and mouth (83% vs 85%. Those with solely natural teeth and those with complete removable dentures expressed most satisfaction. Sensation of dry mouth was common among diabetic patients (54%) and subjects with hypertension exhibited dry mouth to a greater extent (65%) than those who were normotensive. Our principal conclusion is that efforts should be made to give information about diabetes as a risk factor for oral health from dental services to diabetic patients and diabetes staff.

Oral health behavior and HbA1c in Indian adults with type 2 diabetes

“…Information on diabetes type and most recent glycosylated hemoglobin level (HbA1c) were obtained from patient medical records. Diabetes control was considered to be good if HbA1c was ≤ 6.0%, moderate if it was 6.1-7.5%, and poor if it was > 7.5% (24). Informed, written consent was received from all patients who agreed to participate in the study.…”

“…Questionnaire items were carefully selected from relevant published reports in international journals (2,5,6,15,24). The questions were closed-ended, and most were multiple-choice items with alternative statements.…”

Oral health and health-related quality of life in type 2 diabetic patients and non-diabetic controls

“…A total of 158 patients (75.2%) were interviewed about diabetes self-care and health. They were all offered a clinical oral examination free of charge at two Public Dental Service (PDS) clinics (reported elsewhere) (7) and were requested to complete a questionnaire on oral selfcare (reported elsewhere) (24) and the SF-36 HRQL questionnaire for the purpose of the present study. Onehundred-and-two of the 158 patients (64.6%) agreed to participate in the oral health examination.…”

Meta-Analysis of Prevalence of Xerostomia in Diabetes Mellitus

“…The agreement between the eligibility of studies was considered excellent (k= 0.91) [11]. Among the selected studies, published between 1989 and 2014, 8 were conducted in Europe [14,15,18,19,25,28,29,32], 5 were conducted in Asia [13,16,23,24,30] and 100 were conducted in America [17, 20-22, 26, 27, 31, 33-35]. Overall, the occurrence of dry mouth was investigated in 1979 in people with diabetes (cases) and 1667 controls, whereas in 15 articles, the authors subdivided the outcome into types 1 and 2 diabetes mellitus (Table 1).…”