Schjetlein Amanda Lamer, Jørgensen Marit Eika, Lauritzen Torsten, Pedersen Michael Lynge
Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark;
Steno Diabetes Center, Gentofte, Denmark; Centre for Health Research in Greenland, Southern Denmark University, Odense, Denmark.
Int J Circumpolar Health. 2014 Dec 11;73(1):26093. doi: 10.3402/ijch.v73.26093. eCollection 2014.
Diabetes is becoming more common in the Greenlandic population. Patients with diabetes are more prone to periodontal disease. Periodontal status may have an effect on metabolic control.
The aim of this study was to estimate the prevalence of periodontitis amongst patients with diabetes in Nuuk, Greenland, and secondly, to observe if dental care was associated with improved periodontal status and metabolic control.
Observational cross-sectional study and a pilot study of a dental care intervention.
Sixty-two Greenlandic patients with diabetes were included in the study. Data were collected from the Electronic Medical Records (EMR), in addition to a telephone interview. Patients were offered 3 dental examinations with a 3-month interval. The dental examinations consisted of a full-mouth assessment of number of remaining teeth and assessment of periodontal status. Patients received scaling and root planing, together with information and instructions on oral hygiene. Information on glycated haemoglobin (HbA(1C)) values was collected from the EMR at each dental examination.
In this study, 21.0% (13/62) of patients with diabetes had periodontitis. About 42% had less than 20 teeth. The association between diabetes and periodontitis was known by 20 out of the 62 patients. Over half of the patients had been to a dental examination within the last year. The prevalence of periodontitis decreased significantly from 21.0 to 0% (p<0.001) after 3 dental examinations. No change in HbA(1C) levels was observed (p=0.440).
Periodontitis was common among patients with diabetes in Nuuk. Dental health status based on Periodontal Screening Index (PSI) and bleeding on probing (BOP) seemed to improve after dental health care, indicating a need for increased awareness among patients and health care professionals. HbA(1C) levels were not improved among the patients.
糖尿病在格陵兰人群中愈发常见。糖尿病患者更易患牙周病。牙周状况可能会对代谢控制产生影响。
本研究旨在评估格陵兰努克市糖尿病患者中牙周炎的患病率，其次，观察牙科护理是否与牙周状况改善及代谢控制相关。
观察性横断面研究及牙科护理干预的试点研究。
62名格陵兰糖尿病患者纳入本研究。除电话访谈外，还从电子病历（EMR）收集数据。患者接受间隔3个月的3次牙科检查。牙科检查包括对剩余牙齿数量进行全口评估以及牙周状况评估。患者接受了龈上洁治和根面平整，并获得了口腔卫生方面的信息和指导。每次牙科检查时从电子病历中收集糖化血红蛋白（HbA1C）值的信息。
本研究中，21.0%（13/62）的糖尿病患者患有牙周炎。约42%的患者牙齿不足20颗。62名患者中有20名知晓糖尿病与牙周炎之间的关联。超过半数的患者在过去一年中进行过牙科检查。3次牙科检查后，牙周炎患病率从21.0%显著降至0%（p<0.001）。未观察到HbA1C水平有变化（p=0.440）。
努克市糖尿病患者中牙周炎较为常见。基于牙周筛查指数（PSI）和探诊出血（BOP）的牙齿健康状况在接受牙科护理后似乎有所改善，这表明患者及医护人员需要提高认识。患者的HbA1C水平未得到改善。
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