Haghdoost Atousa, Bakhshandeh Soheila, Ghorbani Zahra, Namdari Mahshid
Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Dept. of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Dent (Shiraz). 2022 Mar;23(1):33-39. doi: 10.30476/DENTJODS.2021.87966.1300.
Due to the mutual relationship between periodontal diseases and diabetes, it seems that adopting oral self-care in a way to prevent and control the progress of periodontal diseases, improves the oral health of diabetic patients as well as their general health.
The aim of this study was to investigate the relationship between the oral self-care behaviors and the hemoglobin A1c (Hb A1c) levels in adults with diabetes.
In this cross-sectional study with convenience sampling, 120 adults between 18 to 50 years old, who had at least two healthy functional teeth, were selected from private endocrinology offices in Tehran in August 2019. The exclusion criteria were illiterate individuals and pregnant women. A standard questionnaire was used which included the information about demographic, diabetes, and self-care behaviors. The outcome variable was the latest Hb A1c rate.
The mean age of participants was 35.8±10.5 years. The average Hb A1c was 7.4± 1.55%. 35.0% of participants brushed their teeth twice a day or more and 60.8% flossed rarely. The proportion of Hb A1c <7% was higher in three groups including the participants who had information about the effect of periodontal disease on diabetes (= 0.032), participants who brushed twice a day or more (= 0 .014), and those who used dental floss once a day or more (< 0.001). The likelihood of having Hb A1c <7% in participants who had information about the effect of periodontal disease on diabetes was about three times more than those who had no information (OR= 3.05, = 0.036). Furthermore, it was about six times higher in participants who used dental floss once a day or more than those who used rarely (OR= 5.66, = 0.001).
Results of the present study show that people who had better oral health self-care behaviors had better Hb A1c and diabetes control.
由于牙周疾病与糖尿病之间的相互关系，似乎通过采取口腔自我护理的方式来预防和控制牙周疾病的进展，能够改善糖尿病患者的口腔健康以及他们的整体健康状况。
本研究的目的是调查糖尿病成年人的口腔自我护理行为与糖化血红蛋白（Hb A1c）水平之间的关系。
在这项采用便利抽样的横断面研究中，2019年8月从德黑兰的私人内分泌科诊所选取了120名年龄在18至50岁之间、至少有两颗健康功能牙的成年人。排除标准为文盲和孕妇。使用了一份标准问卷，其中包括有关人口统计学、糖尿病和自我护理行为的信息。结果变量是最新的Hb A1c率。
参与者的平均年龄为35.8±10.5岁。平均Hb A1c为7.4±1.55%。35.0%的参与者每天刷牙两次或更多次，60.8%的参与者很少使用牙线。在三组中，Hb A1c<7%的比例较高，这三组包括了解牙周疾病对糖尿病影响的参与者（P=0.032）、每天刷牙两次或更多次的参与者（P=0.014）以及每天使用牙线一次或更多次的参与者（P<0.001）。了解牙周疾病对糖尿病影响的参与者中，Hb A1c<7%的可能性是不了解者的约三倍（OR=3.05，P=0.036）。此外，每天使用牙线一次或更多次的参与者中，这一比例比很少使用者高约六倍（OR=5.66，P=0.001）。
本研究结果表明，口腔健康自我护理行为较好的人，其Hb A1c水平和糖尿病控制情况更好。
