Mosler Bartosz, Twardawa Henryk, Trzcionka Agata, Korkosz Rafał, Rahnama Mansur, Tanasiewicz Marta
Department of Conservative Dentistry with Endodontics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Plac Akademicki 17, 41-902 Bytom, Poland.
Chair and Department of Dental Surgery, Medical University of Lublin, Dr W. Chodźki 6, 20-930 Lublin, Poland.
Healthcare (Basel). 2022 Mar 23;10(4):606. doi: 10.3390/healthcare10040606.
Diabetes mellitus is a civilization disease which affects increasing number of people. Diabetes essentially influences gingival disease, periodontal disease, saliva secretion disorders and its parameters. The aim of the study is both assessing the oral cavity status of that group of patients to clearly identify their treatment needs and the effectiveness of implementation of oral hygiene training. 57 patients with type 1 diabetes and 31 healthy declared their contribution to the research. The research was conducted within two visits. The evaluation was done during clinical examination: teeth condition, oral hygiene. During the end of the first visit patients received professional oral hygiene instructions. Analysis of the clinical research in both groups showed no differences for Decayed- Missing- Filled teeth index and Dental Treatment Index. The results demonstrated disparity between the groups for the decayed teeth component and filled teeth component (symptomatically higher values in the researched group). There was statistically significant difference in the modified Sulcus Bleeding Index values analysis between both groups. Conducting hygiene instructions influenced the decline of Approximal Plaque Index and Oral Hygiene Index in the treatment group. It is essential for dentists in cooperation with diabetologists to educate patients on the necessity to maintain oral hygiene procedures.
糖尿病是一种影响人数不断增加的文明病。糖尿病本质上会影响牙龈疾病、牙周疾病、唾液分泌紊乱及其参数。本研究的目的是评估该组患者的口腔状况，以明确确定他们的治疗需求以及口腔卫生培训实施的效果。57名1型糖尿病患者和31名健康人宣布参与该研究。研究分两次就诊进行。评估在临床检查期间进行：牙齿状况、口腔卫生。在第一次就诊结束时，患者接受了专业的口腔卫生指导。两组临床研究分析显示，龋失补牙指数和牙科治疗指数无差异。结果表明，两组在龋牙成分和补牙成分上存在差异（研究组症状性较高值）。两组间改良龈沟出血指数值分析存在统计学显著差异。进行卫生指导影响了治疗组邻面菌斑指数和口腔卫生指数的下降。牙医与糖尿病专家合作，对患者进行保持口腔卫生程序必要性的教育至关重要。
