MMWR Morb Mortal Wkly Rep. 2005 Nov 25;54(46):1181-3.
One of the major complications of diabetes is periodontal disease, a chronic infection of tissues supporting the teeth and a major cause of tooth loss. Adults with diabetes have both a higher prevalence of periodontal disease and more severe forms of the disease, contributing to impaired quality of life and substantial oral functional disability. In addition, periodontal disease has been associated with development of glucose intolerance and poor glycemic control among adults with diabetes. Regular dental visits provide opportunities for prevention, early detection, and treatment of periodontal disease among dentate adults (i.e., those having one or more teeth); moreover, regular dental cleaning improves glycemic control in patients with poorly controlled diabetic conditions. One of the national health objectives for 2010 is to increase the proportion of persons with diabetes who have an annual dental examination to 71% (revised objective 5-15). To estimate the percentage of dentate U.S. adults aged > or =18 years with diabetes who visited a dentist within the preceding 12 months, CDC analyzed data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys for 1999 and 2004. This report describes the results of that analysis, which indicated that, in 2004, age-adjusted estimates in only seven states exceeded 71% and estimated percentages for four states and District of Columbia (DC) increased significantly from their levels in 1999. The findings underscore the need to increase awareness and support for oral health care among adults with diabetes, including support for national and state diabetes care management programs.
糖尿病的主要并发症之一是牙周病，它是一种支持牙齿的组织的慢性感染，也是牙齿脱落的主要原因。患有糖尿病的成年人患牙周病的患病率更高，病情也更严重，这会导致生活质量下降和严重的口腔功能障碍。此外，牙周病还与糖尿病成年人的葡萄糖耐量降低和血糖控制不佳有关。定期看牙医为有牙成年人（即有一颗或多颗牙齿的人）预防、早期发现和治疗牙周病提供了机会；此外，定期洗牙可改善糖尿病控制不佳患者的血糖控制。2010年的一项国家卫生目标是将每年接受牙科检查的糖尿病患者比例提高到71%（修订目标5-15）。为了估计美国年龄≥18岁且患有糖尿病的有牙成年人在过去12个月内看过牙医的比例，美国疾病控制与预防中心（CDC）分析了1999年和2004年行为危险因素监测系统（BRFSS）调查的数据。本报告描述了该分析结果，结果表明，2004年，仅7个州的年龄调整估计值超过了71%，4个州和哥伦比亚特区（DC）的估计百分比较1999年有显著增加。这些发现强调了提高糖尿病成年人对口腔保健的认识和支持的必要性，包括对国家和州糖尿病护理管理项目的支持。
