Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Can J Dent Hyg. 2022 Feb 1;56(1):42-45. eCollection 2022 Feb.
Periodontal disease is associated with diabetes mellitus and poor overall health. While the biological underpinnings of this relationship have been identified, less is known about the extent to which this relationship is affected by dental and medical care visits. Two studies lead by the primary author (KKP) explored the likelihood of diabetes complications among persons living with diabetes in Ontario, Canada, who were followed prospectively in administrative health data. The results from both studies confirmed that poor to fair self-reported oral health was associated with a greater risk for diabetes complications, and that poor dental and medical care visiting behaviours increased this risk. In general, the findings indicate that a greater number of dental and medical visits had a protective effect on the overall health of persons with diabetes. This discovery has important implications for all health care providers interested in managing oral and systemic health.
牙周病与糖尿病和整体健康状况不佳有关。虽然已经确定了这种关系的生物学基础，但对于这种关系在多大程度上受到牙科和医疗保健访问的影响知之甚少。主要作者（KKP）领导的两项研究探讨了加拿大安大略省患有糖尿病的患者发生糖尿病并发症的可能性，这些患者在行政健康数据中进行了前瞻性随访。这两项研究的结果均证实，自我报告的口腔健康状况差或一般与糖尿病并发症的风险增加有关，而较差的牙科和医疗保健就诊行为则会增加这种风险。一般来说，研究结果表明，更多的牙科和医疗就诊次数对糖尿病患者的整体健康具有保护作用。这一发现对所有关注口腔和全身健康管理的医疗保健提供者都具有重要意义。
