Comparison of health behaviour and oral/medical conditions in non‐insulin‐dependent (type II) diabetics and non‐diabetics

Abstract

One hundred and two dentate patients with type II diabetes mellitus and 98 non-diabetic subjects were examined for oral conditions and metabolic state. Self-reported health behaviour was analysed. From factor analysis four factors emerged: general health behaviour (GHB), perceived fatigue (PF), diet control (DC) and regular diet (RD). In diabetics PF, DC and RD were significantly higher than that in non-diabetics. Patients with diabetes were more likely to control their disease through a programme of decreased kilojoule intake leading to weight management. However, they tended to tire. The mean gingivitis index was significantly higher (p<0.01) among diabetics (2.39) than among nondiabetics (1.99). The number of missing teeth was significantly higher (p<0.01) for diabetics (6.7) when compared with non-diabetics (4.3). On the other hand, aetiological factors (plaque, calculus) and the level of dental health behaviour as expressed in the HU-DBI scores were similar. Probing pocket depth did not differ statistically between groups. The increasing number of missing teeth in diabetics may primarily result from severe periodontitis with tooth mobility or deep pockets. Findings in this study suggest that the difference in the severity of periodontitis between diabetics and non-diabetics was significant although aetiological factors and the level of dental health behaviour were similar.

Diabetes enhances cell proliferation but not Bax/Bcl-2-mediated apoptosis during oral oncogenesis

“…Traditionally, diabetes is correlated with a variety of oral conditions, such as periodontal disease, dental caries, stomatitis, glositis and sensory changes 5,11 . The condition has not been considered to be involved in the pathogenesis of oral cancer, although correlations between diabetes and inflammatory oral lesions were established from the 19th century onwards 8 .…”

Enhancement of erbB2 and erbB3 expression during oral oncogenesis in diabetic rats

“…Diabetes is traditionally correlated with a variety of oral conditions, such as periodontal disease, dental caries, stomatitis, glossitis and sensory changes (Finney et al 1997;Kawamura et al 1998). Interestingly, recent epidemiological studies have incriminated diabetes mellitus as a risk factor for the development of OSCC, as well as oral premalignant lesions (Ujpal et al 2004(Ujpal et al , 2002.…”

Prevalence of Undiagnosed Diabetes Mellitus Among Dental Patients in Edo State, Nigeria

“…It has been reported that individuals with poor blood sugar control loose more teeth, have increased incidence of dental anomalies and diseases including caries and candida infections 10,11 . When blood sugar level is poorly controlled, the resultant high levels in oral fluids may help microrganisms grow and set the stage for periodontal diseases 1,12 . The glycaemic status of diabetic patients affects the periodontal probing depth, salivary P H , buffering capacity and peroxidase activity 12,13 .…”

“…When blood sugar level is poorly controlled, the resultant high levels in oral fluids may help microrganisms grow and set the stage for periodontal diseases 1,12 . The glycaemic status of diabetic patients affects the periodontal probing depth, salivary P H , buffering capacity and peroxidase activity 12,13 . The objectives of this study are 1. to determine the proportion of dental patients who were diabetic but unaware.…”