Diabetes and Tooth Loss among Working-Age African Americans: A National Perspective

Hastings, Julia F.; Vásquez, Elizabeth

doi:10.1080/19371918.2017.1358126

Cited by 6 publications

(14 citation statements)

References 33 publications

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“…In addition, other epidemiological studies have supported the notion that diabetes may serve as a precursor to natural tooth loss. Some findings are consistent with the evidence from the studies [40,41]. However, negative correlation between the number of missing teeth and HbA1c were found in this study.…”

Section: Discussionsupporting

confidence: 93%

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

S¹,

D²,

Liang³

et al. 2020

Preprint

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Background: Mounting evidence has demonstrated a reciprocal association between diabetes mellitus and periodontal diseases, characterized by loss of alveolar bone, gingival recession and root exposure. Recently, studies showed that type 2 diabetes patients were at high risk to development root caries. This essay aims to clarify the relationship between root surface caries (RC) and periodontal parameters in diabetes patients, as well as evaluate relevant risk factors in Type 2 diabetes mellitus (T2DM). Materials and Methods: A total of 132 qualified adult patients with T2DM and periodontitis were recruited to this study. Radiographic data were collected to calculate alveolar bone loss (ABL). Subjects were assigned to three groups according to tertiles of ABL to make a comparison. Decayed and/or ﬁlled teeth (DFT) were calculated for both coronal and root surface as the caries indices of the remaining teeth. The plaque index (PLI), gingival recession (GR), probing depth (PD) at six sites per tooth, number of missing teeth, number of retained root remnants, and number of teeth with furcal lesions were recorded during clinical examinations. Blood analyses were carried out for glycated hemoglobin (HbA1c), fasting glucose. Correlation analysis, analysis of covariance (ANCOVA), and logistic regression were used to analyse the data. Results: By analyzing covariance, the research found that subjects with increased ABL have significantly higher numbers of missing teeth, root surface caries DFT, teeth with furcal lesions ( P <0.05). There is a significant positive correlation between root surface caries DFT and ABL, GR, coronal caries DFT ( P <0.05), respectively. ABL, coronal caries and age became significant predictor variables for Root Surface DFT (≥3)) ( P <0.05). Conclusion: Root surface caries were associated with ABL, GR and coronal caries in periodontitis with T2DM as well as ABL, coronal caries and age became risk factors for predicting the occurence of RC. Key Words: Association, Root Caries, Diabetes mellitus, Periodontitis

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Section: Discussionsupporting

confidence: 93%

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

S¹,

D²,

Liang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The results suggest that the number of existing teeth is lower in patients with metabolic syndrome, who show three or more of the following five components (obesity, hypertension, diabetes, low-HDL-cholesterolemia, and hypertriglyceridemia) compared to their counterparts [9]. It has been reported that obesity [35], hypertension [36], diabetes [37], low-HDL-cholesterolemia [38], and hypertriglyceridemia [39] reduce the immunity and increase the likelihood of aggravating periodontitis to cause tooth loss [40].…”

Section: Discussionmentioning

confidence: 99%

Factors Related to the Number of Existing Teeth among Korean Adults Aged 55–79 Years

Lee

Kim

et al. 2019

IJERPH

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This study aimed to determine the association between the number of existing teeth (NET) and socioeconomic status (SES), oral health-related behaviours, and metabolic syndrome in Korean adults aged 55–79 years. The study included 3255 adults who underwent oral health examinations and answered questionnaires regarding SES, oral health-related behaviours, and metabolic diseases in the Sixth Korea National Health and Nutrition Examination Survey (2013–2015). The dependent variable was the binary status based on the median NET in each age group. The independent variables were based on SES, oral health-related behaviours, and the presence of metabolic syndrome. The study findings showed that the factors associated with the NET were sex, household income, education level, region of residence, daily toothbrushing frequency, dental visit within 1 year, smoking, and metabolic syndrome. NET was lower in males (adjusted OR: 0.74), in low household income group (adjusted OR: 0.77), in primary school graduates (adjusted OR: 0.53) and in rural residents (adjusted OR: 0.78). The interventions aimed at preserving existing teeth in elderly population should consider their SES, oral health-related behaviours, and metabolic syndrome and overhauling current oral healthcare system and redefining the roles of oral health professionals.

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“…The number of evaluable teeth was assessed by professionally performed oral examinations to obtain optimally reliable values. Two studies that report the number of teeth by utilizing a questionnaire were therefore, in the second phase, excluded 69,70 . However, both indicate numerically more missing teeth in the DM group as compared to healthy individuals.…”

Section: Discussionmentioning

confidence: 99%

The risk of tooth loss in patients with diabetes: A systematic review and meta‐analysis

Weijdijk

Žiūkaitė

Weijden

et al. 2021

Int J Dental Hygiene

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Aim The aim of this systematic review was to comprehensively and critically summarize and synthesize the risk of losing teeth among with diabetes mellitus (DM) compared to those without DM, as established in observational studies. Materials and methods MEDLINE‐PubMed and Cochrane databases were searched through a period from their inception through October 2020 to identify eligible studies. Papers that primarily evaluate the number of teeth in DM patients compared to non‐DM individuals were included. A descriptive analysis of the selected studies was conducted, and when feasible, a meta‐analysis was performed. The quality of the studies was assessed. Results A total of 1087 references were generated, and screening of the papers resulted in 10 eligible publications. A descriptive analysis demonstrated that six of these studies indicate a significantly higher risk of tooth loss in DM patients. This was confirmed by the meta‐analysis risk ratio of 1.63 95% CI (1.33; 2.00, p < 0.00001). Subgroup analysis illustrates that this is irrespective of the risk‐of‐bias assessment. The higher risk of tooth loss in DM patients was also higher when only DM type II patients or studies with a cross‐sectional design were considered. Patients with a poor DM control status presented a significantly increased risk of tooth loss. When the data were separated by the world continent where the study was performed, Asia and South America had numerically higher risks and a 95% CI that did not overlap with Europe and North America. Conclusion There is moderate certainty for a small but significantly higher risk of tooth loss in DM patients as compared to those without DM.

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Diabetes and Tooth Loss among Working-Age African Americans: A National Perspective

Cited by 6 publications

References 33 publications

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

Factors Related to the Number of Existing Teeth among Korean Adults Aged 55–79 Years

The risk of tooth loss in patients with diabetes: A systematic review and meta‐analysis

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