Kanjirath Preetha P, Kim Seung Eun, Rohr Inglehart Marita
College of Dental Medicine, Midwestern University, Illinois, USA.
J Dent Hyg. 2011 Fall;85(4):264-72. Epub 2011 Nov 11.
The objective of this study was to explore oral health-related behavior, how patients with diabetes differ from patients not diagnosed with diabetes in their oral health and whether oral health-related behavior moderates the oral health status of patients with diabetes.
Survey and chart review data were collected from 448 patients (52% male, 48% female, average age: 57 years) of which 77 were diagnosed with diabetes (17%).
Patients with diabetes had a higher percentage of teeth with mobility than those not diagnosed with diabetes (14% vs. 8%, p=0.023), as well as gingival recession (16% vs. 12%, p=0.035) and more teeth with recession in the esthetic zone (1.17 vs. 0.88, p=0.046). They also had more decayed, missing and filled surfaces due to caries (101 vs. 82, p<0.001) and more missing teeth due to caries (11 vs. 7, p<0.001). Patients with diabetes brushed and flossed less frequently. Patients with diabetes who did not brush regularly had poorer periodontal health (percentage of teeth with probing depth of <4 mm: 82% vs. 60%, p=0.039, 4 to 6 mm: 34% vs. 17%, p=0.059) and more caries (percentage of decayed teeth: 32% vs. 15%, p=0.033) than regularly brushing patients with diabetes.
Educating patients with diabetes about the importance of good oral self care needs to become a priority for their oral health care providers.
本研究的目的是探讨口腔健康相关行为，糖尿病患者在口腔健康方面与未被诊断为糖尿病的患者有何不同，以及口腔健康相关行为是否会调节糖尿病患者的口腔健康状况。
收集了448名患者（52%为男性，48%为女性，平均年龄：57岁）的调查和病历审查数据，其中77人被诊断为糖尿病（17%）。
糖尿病患者牙齿松动的比例高于未被诊断为糖尿病的患者（14%对8%，p=0.023），牙龈退缩的比例也更高（16%对12%，p=0.035），且美学区域退缩的牙齿更多（1.17对0.88，p=0.046）。他们因龋齿导致的龋失补牙面也更多（101对82，p<0.001），因龋齿缺失的牙齿也更多（11对7，p<0.001）。糖尿病患者刷牙和使用牙线的频率较低。不定期刷牙的糖尿病患者牙周健康状况较差（探诊深度<4mm的牙齿比例：82%对60%，p=0.039；4至6mm：34%对17%，p=0.059），龋齿也更多（龋齿比例：32%对15%，p=0.033），而定期刷牙的糖尿病患者情况则较好。
对糖尿病患者进行良好口腔自我护理重要性的教育，需要成为其口腔保健提供者的首要任务。
