AlDukhail Shaikha, Alhazmi Hesham, Riedy Christine, Barrow Jane R, Chamut Steffany
Department of Preventive Dental Sciences, College of Dentistry, Prnicess Nourah Bint Abdulrahman University, Saudi Arabia; Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, United States of America.
Department of Preventive Dentistry, Faculty of Dentistry, Umm Al Qura University, Makkah, Saudi Arabia; Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, United States of America.
J Diabetes Complications. 2021 Sep;35(9):107979. doi: 10.1016/j.jdiacomp.2021.107979. Epub 2021 Jul 2.
To examine the association of diabetes with tooth loss and oral manifestations among adult health center patients (HCPs).
This cross-sectional study utilized the nationally representative 2014 HCPs-Survey. Descriptive and logistic regression analyses limited to adults (n = 5524) were used to compare self-reported responses of tooth loss and oral manifestations (i.e., loose teeth, bleeding gums, mouth sores, and dry mouth) among HCPs with and without diabetes.
Almost a quarter of the HCPs reported having diabetes. Among patients with diabetes, more than half were 45-64 years old, had low-income status, and attended rural health centers. Analyses revealed that diabetes was significantly associated with permanent tooth loss and presence of at least one oral manifestation after controlling for confounders. Among adults with diabetes, probability of "missing at least one tooth." were two times higher compared to not missing any teeth [AOR = 2.10, (95%CI 1.40-3.16); P ≤0.001]. Adults with diabetes had higher odds of having one or more "oral manifestations" compared to adults without diabetes [AOR = 1.60, (95%CI 1.22-2.11); P = 0.001].
Diabetes disproportionately affects HCP adults (23%) compared to the general U.S. adult population (10%). In HCPs having diabetes was associated with a higher prevalence of oral manifestations (i.e., loose teeth, bleeding gums) and losing "At least one" of their permanent teeth. These findings suggest that adults with diabetes had higher prevalence of oral manifestations and tooth loss, highlighting the need for innovative interprofessional models for early screening and identification.
研究成人健康中心患者（HCPs）中糖尿病与牙齿缺失及口腔表现之间的关联。
本横断面研究采用具有全国代表性的2014年HCPs调查。对仅限于成年人（n = 5524）的描述性和逻辑回归分析用于比较有糖尿病和无糖尿病的HCPs在牙齿缺失和口腔表现（即牙齿松动、牙龈出血、口腔溃疡和口干）方面的自我报告反应。
近四分之一的HCPs报告患有糖尿病。在糖尿病患者中，超过一半的人年龄在45 - 64岁之间，收入较低，且就诊于农村健康中心。分析显示，在控制混杂因素后，糖尿病与恒牙缺失和至少一种口腔表现显著相关。在患有糖尿病的成年人中，“至少缺失一颗牙齿”的概率是未缺失任何牙齿的成年人的两倍[AOR = 2.10，（95%CI 1.40 - 3.16）；P≤0.001]。与无糖尿病的成年人相比，患有糖尿病的成年人出现一种或多种“口腔表现”的几率更高[AOR = 1.60，（95%CI 1.22 - 2.11）；P = 0.001]。
与美国普通成年人群（10%）相比，糖尿病对HCPs成年人（23%）的影响更大。在HCPs中，患有糖尿病与口腔表现（即牙齿松动、牙龈出血）的较高患病率以及恒牙“至少缺失一颗”有关。这些发现表明，患有糖尿病的成年人口腔表现和牙齿缺失的患病率较高，凸显了采用创新的跨专业模式进行早期筛查和识别的必要性。
