Type 1 diabetes mellitus and oral health: assessment of tooth loss and edentulism
| Autor: | Karen M. Rossie, Heidi Hubar, James Guggenheimer, Robert J. Weyant, Mary Beth Mongelluzzo, Harvey M. Block, Paul A. Moore, Daniel E. Myers, Trevor J. Orchard |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Diabetic neuropathy Adolescent Bleeding on probing Dentistry Dental Caries Dental floss Tooth Loss Diabetic Neuropathies Diabetes mellitus Tooth loss medicine Humans Diabetic Nephropathies Longitudinal Studies General Dentistry Periodontal Diseases Peripheral Vascular Diseases Type 1 diabetes Edentulism Diabetic Retinopathy business.industry Public Health Environmental and Occupational Health Age Factors Middle Aged Pennsylvania medicine.disease Oral Hygiene stomatognathic diseases Cross-Sectional Studies Diabetes Mellitus Type 1 Logistic Models Root Caries Income Educational Status Female medicine.symptom Mouth Edentulous business Diabetic Angiopathies Retinopathy Follow-Up Studies |
| Zdroj: | Journal of public health dentistry. 58(2) |
| ISSN: | 0022-4006 |
| Popis: | OBJECTIVE The oral health of an adult population previously diagnosed with juvenile onset insulin dependent-diabetes was comprehensively assessed. The goal of this exploratory cross-sectional evaluation was to described the characteristics related to partial tooth loss edentulism in subjects with Type 1 diabetes mellitus. METHODS An adult population of 406 Type 1 diabetes mellitus subjects, who had been monitored for 6-8 years as part of a University of Pittsburgh longitudinal study of medical complications associated with diabetes, received an oral health examination for missing teeth, edentulism, coronal and root caries, periodontal status, and oral health behaviors. RESULTS Of the 406 subjects evaluated, 204 had no missing teeth, 186 had partial tooth loss (1-27 missing teeth), and 16 were edentulous. Patients who had partial tooth loss or who were edentulous were generally older; had lower incomes and levels of education; and had higher rates of nephropathy, neuropathy, retinopathy, and peripheral vascular disease. A logistic regression model found partial tooth loss to be significantly associated with extensive periodontal disease in remaining teeth (OR = 7.35), a duration of diabetes longer than 24 years (OR = 5.32), not using dental floss (OR = 2.37), diabetic neuropathy (OR = 2.29), household income less than $20,000 (OR = 2.21), multiple coronal caries and fillings (OR = 1.98), and bleeding on probing (OR = 1.82). CONCLUSIONS Although the majority of these adult Type 1 diabetes patients had serious medical complications associated with their diabetes, the possible impact of diabetes mellitus on oral health should be included in their overall management. |
| Databáze: | OpenAIRE |
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