Ciglar L, Skaljac G, Sutalo J, Keros J, Janković B, Knezević A
Department of Dental Pathology, School of Dental Medicine, University of Zagreb, Croatia.
Coll Antropol. 2002 Jun;26(1):311-7.
Two groups of population consisting of 84 patients suffering from diabetes (60 type I, 24 type II) and 69 nondiabetics of the same age have been examined on: oral hygiene index (OHI), frequency of daily tooth brushing, dietary habits and incidence of dental caries by registration of the decayed, missed and filled dental surfaces (DMFS-index). OHI in type I and type II diabetes was found to bee slightly worse than in nondiabetics, but not significantly (p > 0.05). In the number of daily tooth brushing there is not significant difference between diabetics and nondiabetics. All diabetics have considerably lower daily intake of total as well as simple carbohydrates than nondiabetics. The diabetics have a significantly higher daily intake of dietary fibers, calcium and phosphorus as well as the number of meals with simple carbohydrates and also DMFS-index than the nondiabetics. A significantly higher incidence (p < 0.01) of caries location was found on the buccal and labial cervical areas among patients suffering from diabetes. Explanation for this could be more frequent daily intake of low molecular carbohydrates with an improper calcium phosphorus ratio.
一组是84名糖尿病患者（60名I型糖尿病患者，24名II型糖尿病患者），另一组是69名同龄非糖尿病患者，检查内容包括：口腔卫生指数（OHI）、每日刷牙频率、饮食习惯以及通过记录龋坏、缺失和充填牙面（DMFS指数）来统计龋齿发病率。发现I型和II型糖尿病患者的OHI略差于非糖尿病患者，但差异不显著（p>0.05）。糖尿病患者和非糖尿病患者的每日刷牙次数没有显著差异。所有糖尿病患者的总碳水化合物以及单糖的每日摄入量均显著低于非糖尿病患者。糖尿病患者的膳食纤维、钙和磷的每日摄入量以及含单糖餐食的数量以及DMFS指数均显著高于非糖尿病患者。在糖尿病患者中，颊侧和唇侧颈部区域的龋齿发生率显著更高（p<0.01）。对此的解释可能是每日更频繁摄入钙磷比例不当的低分子碳水化合物。
