Dr. Beheshti is a pediatric dentist in New York, N.Y., USA;, Email:
Dr. Badner is chair, Department of Dentistry/OMFS, Jacobi Medical Center, and associate professor, Albert Einstein College of Medicine, Bronx, N.Y., USA.
Pediatr Dent. 2021 Mar 15;43(2):123-128.
To investigate the association of diabetes and dental caries in U.S. adolescents in the National Health and Nutrition Examination Survey (NHANES). NHANES 2005 to 2010 data represented 24.38 million U.S. adolescents. Outcome variables were dental-caries-experience and untreated dental decay. Analyses included descriptive statistics and logistic regressions. Multivariable models controlling for known common confounding variables using weighted estimates for odds ratios (ORs) and 95% confidence intervals (CI). Diabetes and prediabetes prevalence were 0.35 percent and 12.8 percent, respectively. Subjects with increased blood glucose and HbA1C had significantly greater dental caries (78.9 percent versus 56.3 percent) and (83.2 percent versus 56.2 percent, P<0.001) when compared to those with normal values. Fully adjusted models revealed that diabetic adolescents were more than twice as likely to experience dental caries compared to nondiabetic adolescents (OR=2.43, CI=2.39 to 2.47). Similarly, diabetic individuals were more likely to have untreated dental decay than non-diabetics (OR=3.37, CI=3.32 to 3.42). Diabetic adolescents, compared to nondiabetics, had higher odds of dental caries experience and untreated dental decay after controlling for age, race/ethnicity, gender, body mass index, family income-to-poverty ratio, and country of birth. This study highlights the need for continued interprofessional collaboration to address oral health in prediabetic and diabetic adolescents.
调查美国青少年中糖尿病与龋齿的关系，该研究基于美国国家健康和营养检查调查（NHANES）。2005 年至 2010 年的数据代表了 2438 万美国青少年。结果变量为龋齿经历和未经治疗的龋齿。分析包括描述性统计和逻辑回归。多变量模型使用加权估计值控制了已知的常见混杂变量，以比值比（OR）和 95%置信区间（CI）表示。糖尿病和前驱糖尿病的患病率分别为 0.35%和 12.8%。与血糖和 HbA1C 值正常的人相比，血糖和 HbA1C 值升高的人患龋齿的比例显著更高（78.9%对 56.3%；83.2%对 56.2%；P<0.001）。完全调整的模型显示，与非糖尿病青少年相比，糖尿病青少年发生龋齿的可能性高出两倍以上（OR=2.43，CI=2.39 至 2.47）。同样，与非糖尿病者相比，糖尿病者更有可能出现未经治疗的龋齿（OR=3.37，CI=3.32 至 3.42）。在校正年龄、种族/民族、性别、体重指数、家庭收入与贫困比率以及出生地后，与非糖尿病者相比，糖尿病青少年发生龋齿经历和未经治疗的龋齿的可能性更高。本研究强调了需要继续进行跨专业合作，以解决前驱糖尿病和糖尿病青少年的口腔健康问题。
