Trends in annual dental visits among US dentate adults with and without self-reported diabetes and prediabetes, 2004-2014

Luo, Huabin; Bell, Ronny A.; Wright, Wanda; Wu, Qiang; Wu, Bei

doi:10.1016/j.adaj.2018.01.008

Cited by 26 publications

(28 citation statements)

References 18 publications

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“…35 Our finding that patients with T2DM do not differ much from the general population regarding dental care utilization is not in agreement with studies from the USA. In these studies, it was demonstrated that patients with DM were less likely to visit a dentist regularly [16][17][18][19] and that fewer patients with DM had dental insurance coverage. 18 One explanation for this discrepancy could be the fact that patients without an understanding of spoken and written Dutch were excluded for the current study.…”

Section: Discussionmentioning

confidence: 99%

“…Studies from the USA also demonstrated that patients with DM tend to visit the dentist less frequently, compared to subjects without DM. [17][18][19] Insufficient dentist consultation is likely to result in poor oral health; 20 however, recent figures about dental care utilization amongst patients with T2DM attending primary diabetes care are not available.…”

Section: Introductionmentioning

confidence: 99%

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<p>Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study</p>

Verhulst

Teeuw

Gerdes

et al. 2019

DMSO

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Background: Guidelines for primary diabetes care recommend to pay attention to oral health in patients with diabetes mellitus type 2 (T2DM). However, research about dental care utilization and the extent of problems regarding oral health in these patients is limited. Purpose: To assess self-reported oral health, general health-related quality of life (QoL) and oral health-related QoL in patients with T2DM who regularly attend a family physician office. Methods: Family physician offices were recruited in the area of Amsterdam, the Netherlands, as part of a cluster-randomized controlled trial. At these offices, patients with T2DM were included by family physicians and/or nurse practitioners. Patient data on general characteristics, self-reported oral health (including periodontitis), general health-related QoL (SF-36) and oral health-related QoL (OHIP-NL14) were collected. Results: Twenty-four family physician offices participated, who enrolled 764 patients with T2DM (mean age: 65.9±10.7 years, 56% male, 16% smoker). Almost 11% of the patients were metabolically poorly controlled (HbA1c >63 mmol/mol), 39% were obese (body mass index≥30 kg/m 2), 37% had hypertension (systolic blood pressure ≥140 mmHg) and 44% had dyslipidemia (LDL-cholesterol >2.5 mmol/L). About a quarter (24%) reported not to visit a dentist regularly and 30% did not have dental insurance coverage. Furthermore, 16% of the patients were edentulous and having full dental prostheses, while 29% had a partial dental prosthesis. Pain in the mouth, dry mouth and bad breath were reported by 15%, 37% and 12% of the patients, respectively. Almost 70% suffered from periodontitis. Oral health-related QoL was impaired in 19% of the patients, and those subjects also had worse general health-related QoL. Conclusion: Almost a quarter of patients with T2DM at Dutch family physician offices does not visit the dentist regularly. The estimated prevalence of periodontitis is particularly high, but other oral health complaints and impaired oral health-related QoL are also relatively common. Keywords: self-reported oral health, oral health-related quality of life, diabetes mellitus type 2, primary care, family physician

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study</p>

Verhulst

Teeuw

Gerdes

et al. 2019

DMSO

View full text Add to dashboard Cite

show abstract

“…Both children/adolescents [12] and adults with pre-diabetes or type 2 diabetes, respectively, visit the dentist less frequently than their normoglycemic peers [119]. For example, nearly one-quarter of Dutch patients attending family physicians' offices did not have regular dental visits [113].…”

Section: Oral Health Care and Awarenessmentioning

confidence: 99%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

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The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described. Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes. Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes.

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“…To promote oral health and close racial/ethnic gaps in oral health disparities, regular use of preventive dental services is critical. A few studies have examined population-level trends of dental service utilization across racial/ethnic groups in the United States based on nationally representative cross-sectional data (Luo, Bell, Wright, Wu, & Wu, 2018; Wall, Vujicic, & Nasseh, 2012; Wu et al, 2013). These studies found that the racial/ethnic disparities in dental service utilization were persistent for the past two decades.…”

mentioning

confidence: 99%

Racial/Ethnic Disparities in Dental Service Utilization for Foreign-Born and U.S.-Born Middle-Aged and Older Adults

Zhang

2019

Res Aging

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This study examines racial/ethnic disparities of dental service utilization for foreign-born and U.S.-born dentate residents aged 50 years and older. Generalized linear mixed-effects models (GLMM) were used to perform longitudinal analyses of five-wave data of dental service utilization from the Health and Retirement Study (HRS). We used stratified analyses for the foreign-born and U.S.-born and assessed the nonlinear trend in rates of dental service utilization for different racial/ethnic groups. Findings indicate that Whites had higher rates of service utilization than Blacks and Hispanics regardless of birthplace. For all groups, the rates of service utilization decreased around age 80, and the rates of decline for Whites were slower than others. The U.S.-born showed the trend of higher rates of service utilization than the foreign-born for all racial/ethnic groups. These findings suggest the importance of developing culturally competent programs to meet the dental needs of the increasingly diverse populations in the United States.

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Trends in annual dental visits among US dentate adults with and without self-reported diabetes and prediabetes, 2004-2014

Cited by 26 publications

References 18 publications

<p>Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study</p>

<p>Self-reported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study</p>

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Racial/Ethnic Disparities in Dental Service Utilization for Foreign-Born and U.S.-Born Middle-Aged and Older Adults

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