Impact of well-controlled type 2 diabetes mellitus on quality of life of chronic periodontitis patients

Mourão, Leila Cristina dos Santos; Garcia, Elanne; Passos, Daniela F.; Lorena, Thamirys; Canabarro, Antônio

doi:10.4103/jisp.jisp_218_16

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…The bidirectional relationship between systemic diseases such as type 2 diabetes mellitus and periodontal disease has been the topic of numerous clinical researches in periodontal medicine. It also stands out that periodontal disease is the most prevalent oral complication in type 2 diabetes mellitus patients and it is considered the sixth classic diabetes complication (LORENTZ et al, 2009;MOURÃO et al, 2016;GUO et al, 2017). Such affirmations corroborate the findings of the present study, which confirm that generalized gingivitis is more prevalent (score 2) in diabetic patients, along with the fact that such patients presented a lower number of sextants with periodontal health than non-diabetics.…”

Section: Discussionsupporting

confidence: 91%

“…Diabetes mellitus is not considered the direct cause of periodontal disease, but rather a systemic factor that provides local conditions for its development, and bacterial plaque is the primary factor for developing periodontal disease (CHANG et al, 2013). However, in patients with DM2 associated with periodontal disease, a negative relationship with quality of life is observed (MOURÃO et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and severity of periodontal disease in type 2 diabetes mellitus patients: a cross-sectional study

Trentin¹,

Carli²,

Ferreira³

et al. 2018

Biosci. J.

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This is a cross-sectional clinical study performed with type 2 diabetes mellitus patients and nondiabetic patients, in the city of Passo Fundo, RS, Brazil, which aimed to verify whether periodontal disease is more prevalent in type 2 diabetes mellitus (DM2) patients. The study sample included 275 patients, wherein 117 were type 2 diabetes patients and 158 were non-diabetic patients, who were assessed between the years of 2007 and 2010. The inclusion criteria of the study were patients older than 35 years with DM2 diagnosed for more than one year through glycemia and glycosylated hemoglobin tests. The same criteria was used for the control group, except for the presence of diabetes. The participants were evaluated by students calibrated for the Periodontal Screening and Recording (PSR) index and through a questionnaire assessing age, gender, oral hygiene conditions, and medications of the patients. Generalized gingivitis was more prevalent in diabetic patients (p<0.001). The level of oral hygiene of the diabetic patients was considered fair and poor (p<0.001) when compared to the non-diabetic patients. More sextants with periodontal health were observed in non-diabetic patients (p<00.1) when compared to type 2 diabetes mellitus patients; tooth loss was also greater in DM2 patients. The study allowed concluding that DM2 patients presented higher prevalence of periodontal disease than the control group. The factors that might have influenced these results were systemic condition (DM2), level of oral hygiene, and age, which justifies the high rate of periodontal disease and tooth loss in these individuals.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Prevalence and severity of periodontal disease in type 2 diabetes mellitus patients: a cross-sectional study

Trentin¹,

Carli²,

Ferreira³

et al. 2018

Biosci. J.

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“…12 Some studies have identified associations between oral pathology and DM2, 1,8,13,14 and both are associated with a worse perceived GH 15 and worse oralhealth quality of life due to OH manifestations. [16][17][18] The self-perception of health (SPH) is a subjective indicator that complements the clinical health status, independently of medical interpretations of signs and symptoms, and has been identified as an important predictor of mortality or health care. The SPH is a valid assessment of the individual's GH and OH perception [19][20][21][22] and can be used as a predictor of future health outcomes 23,24 or related to OH in diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

Self-rated health and oral health in type 2 diabetic patients – a case-control study

Frias-Bulhosa¹,

Manso²,

Mota³

et al. 2018

j.rpemd

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This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). rev port estomatol med dent cir maxilofac. a b s t r a c t Objectives: To analyze whether there are differences between self-rated general health (SRH) and self-rated oral health (SROH) between individuals with type 2 diabetes mellitus (DM2) and without DM2, and to explore the general and oral conditions associated with major impacts on general health (GH) and oral health (OH) self-perception.Methods: After obtaining ethical approval and informed consent, the sample included 343 DM2 patients (DM2 group) and 323 controls (nDM2 group), all adult volunteers. Data was obtained from clinical records and oral health examination, using WHO criteria and a questionnaire to rate their own GH and OH on a Likert 5-point scale. Inference analysis was conducted using parametric and non-parametric tests and logistic multivariable regression (MLR) (α=0.05).Results: DM2 patients' perception of own GH was significantly worse than nDM2's (p<0.001).The MLR showed that the risk factors for a worse perceived GH were calculus and oral hygiene at night in nDM2, and HTA, dyslipidaemia and at least one missing tooth in DM2. Both SRH and SROH were significantly (p<0.001) often classified as "bad" or "very bad" in DM2.Calculus and pockets ≥4mm were identified as increased risk factors (OR=3.55, p=0.049;OR=4.32, p=0.025, respectively) and DMFT>0, calculus and gingival recession were associated (p<0.001) with "bad" or "very bad" SRH and SROH in the MLR.Conclusions: Individuals with type 2 diabetes mellitus showed a worse self-perception of own general health and oral health than individuals without this pathology, and oral health was generally self-rated worse than general health. (Rev Port Estomatol Med Dent Cir Maxilofac. 2018;59(4):181-190) © 2018 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Publicado por SPEMD. Este é um artigo Open Access sob uma licença CC BY -NC -ND (http://creativecommons.org/licenses/by -nc -nd/4.0/). Keywords: Case-control study Primary health care Self-rated health Self-rated oral health Type 2 diabetes r e s u m o Auto-avaliação de saúde e saúde oral em pacientes diabéticos tipo 2 -estudo caso-controle Palavras-chave: Estudo caso-controlo Cuidados de saúde primários Autoavaliação da saúde Autoavaliação da saúde oral Diabetes tipo 2Objetivos: Verificar existência de diferenças entre a autoavaliação da saúde geral (SRS) e da saúde oral (SROH) entre pacientes com diabetes melittus tipo 2 (DM2) e sem (nDM2) e explorar as condições de maior impacto na saúde geral (GH) e oral (OH) associadas à autoperceção.Métodos: Após aprovação ética e consentimento informado, obteve-se 343 adultos DM2 e 323 controlos. Os dados clínicos e de OH foram coletados usando critérios da OMS e perguntas para autoclassificação de GH e OH numa escala de Likert (5 pontos). A análise inferencial utilizou testes não-paramétricos e regressão logística multivariada (MLR) (α=0,05).Resultados: Os pacientes DM2 autoavaliam ...

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Burden and impact of periodontal diseases on oral health-related quality of life and systemic diseases and conditions: Latin America and the Caribbean Consensus 2024

ROMITO,

COLLINS,

HASSAN

et al. 2024

Braz. oral res.

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Periodontal diseases are highly prevalent globally, and represent a significant public health burden that could affect the quality of life in Latin American and in Caribbean countries and territories. The primary objective is to explore the existing research and epidemiological studies on the burden of periodontal diseases, particularly their impact on oral health-related quality of life (OHRQoL) and associations with systemic health conditions in Latin America and the Caribbean (LAC). An electronic literature search was conducted across multiple databases, including MEDLINE (PubMed), Scopus, LILACS, SciELO, and Web of Science, without publication date or language limitations, up until December 2023. Reviewers independently assessed titles and abstracts based on the eligibility criteria. The search yielded 1195 articles, with 63 meeting the inclusion criteria. The results of epidemiological studies showed that periodontitis is extremely prevalent at 90% in LAC; severe periodontitis can affect nearly 10% of the adult population and that periodontitis is aggravated by smoking, poverty, low education level, and limited access to proper dental care. Periodontitis was consistently associated with worse OHRQoL; and causing pain, and/or triggering psychological discomfort, physical disability, and social disability. Associations were also reported between periodontitis and comorbidities such as diabetes, cardiovascular disease, rheumatoid arthritis, respiratory disease, mental illness, and adverse pregnancy outcomes that are also affecting the quality of life of individuals and their families. This scoping review offers a thorough examination of the burden of periodontal diseases in LAC and highlights the significant public health concern that it represents for the region.

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Impact of well-controlled type 2 diabetes mellitus on quality of life of chronic periodontitis patients

Cited by 4 publications

References 24 publications

Prevalence and severity of periodontal disease in type 2 diabetes mellitus patients: a cross-sectional study

Prevalence and severity of periodontal disease in type 2 diabetes mellitus patients: a cross-sectional study

Self-rated health and oral health in type 2 diabetic patients – a case-control study

Burden and impact of periodontal diseases on oral health-related quality of life and systemic diseases and conditions: Latin America and the Caribbean Consensus 2024

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