巴西和法国老年糖尿病患者的口腔健康并发症：一项比较研究。

Oral health complications in Brazilian and French diabetic older people: A comparative study.

机构信息

School of Dentistry, University of Fortaleza - UNIFOR, Fortaleza, Brazil; School of Dentistry, Christus University Center - UNICHISTUS, Fortaleza, Brazil.

School of Dentistry, University of Fortaleza - UNIFOR, Fortaleza, Brazil.

出版信息

Arch Gerontol Geriatr. 2019 Sep-Oct;84:103905. doi: 10.1016/j.archger.2019.103905. Epub 2019 Jun 27.

DOI:10.1016/j.archger.2019.103905

PMID:31319368

Abstract

INTRODUCTION

Diabetes mellitus (DM) is a risk factor for periodontitis for over 40 years and novel evidence suggests that periodontitis has an impact on glycemic control in patients with diabetes. This study aimed to compare oral health complications in diabetic older patients from Brazil and France.

METHODS

This cross-sectional study included 120 patients aged 65 and over diagnosed with type 2 diabetes. Sixty patients were admitted to a center for diabetes and hypertension care in Brazil and 60 patients were admitted to the Rouen University hospital. Dental conditions were assessed through the decayed, missing and filled teeth index and periodontal condition was assessed using the Community Periodontal Index. The significance threshold was p < 0.05.

RESULTS

Decayed teeth differed statistically between the groups (p = 0.001). The French group presented more tooth mobility, gingival recession and furcation involvement (p < 0.001). Tooth brushing frequency differed significantly between the groups (p < 0.030). The main cause of missing teeth was periodontitis in the French group and caries and periodontitis in the Brazilian group (p < 0.001). Statistical significance was found for use of fixed upper (p = 0.013) and lower (p = 0.013) dentures in the French group. The French group needed upper denture rehabilitation (p = 0.010) while the Brazilian group needed lower denture rehabilitation (p = 0.003).

CONCLUSION

Edentulism was prevalent in diabetic older people in both countries. However, the French participants presented with better oral health.

摘要

引言

糖尿病（DM）是牙周炎的一个风险因素已有 40 多年，新的证据表明牙周炎对糖尿病患者的血糖控制有影响。本研究旨在比较巴西和法国老年糖尿病患者的口腔健康并发症。

方法

这是一项横断面研究，纳入了 120 名年龄在 65 岁及以上的 2 型糖尿病患者。60 名患者来自巴西的糖尿病和高血压护理中心，60 名患者来自鲁昂大学医院。通过龋齿、缺失和填补的牙齿指数评估牙齿状况，通过社区牙周指数评估牙周状况。显著性阈值为 p<0.05。

结果

两组之间的龋齿牙齿有统计学差异（p=0.001）。法国组牙齿活动度、牙龈退缩和分叉受累程度更高（p<0.001）。两组之间的刷牙频率有显著差异（p<0.030）。法国组缺失牙齿的主要原因是牙周炎，而巴西组则是龋齿和牙周炎（p<0.001）。法国组固定上（p=0.013）和下（p=0.013）义齿的使用有统计学意义。法国组需要进行上义齿修复（p=0.010），而巴西组需要进行下义齿修复（p=0.003）。