Devadiga Trupti J, Godil Aamir Z, Wadwan Sanaa A, Kazi Arshi I, Dugal Ramandeep J, Khan Mohammed Aatif A
Department of Prosthodontics, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Indian J Endocrinol Metab. 2022 Nov-Dec;26(6):594-600. doi: 10.4103/ijem.ijem_278_22. Epub 2023 Feb 7.
The current study was conducted to assess the oral health-related quality of life in completely edentulous and diabetes mellitus (DM) patients. The null hypothesis of the survey is that there is no effect of both edentulism and diabetes on the oral health-related quality of life of patients.
A descriptive cross-sectional study.
The study population was divided into three groups: • Group 1: Non-diabetic patients, wearing a complete denture. • Group 2: Diabetic patients, wearing a complete denture. • Group 3: Diabetic, completely dentulous patients. In total, 332 (200 males and 132 females) patients.
Telephonic and interview methods of surveying were employed to evaluate patients.
The mean values, standard deviation (SD) and value were calculated using a one-way analysis of variance (ANOVA). The level of significance was set at 5% (* value < 0.05, *** value < 0.001, NS: statistically non-significant). The higher the score, the higher the impact and vice-versa. Inter-group comparisons were done with post-hoc Bonferroni's test for multiple group comparisons.
Data collected from the survey were statistically significant, results were noted between the completely edentulous patients wearing dentures and diabetic dentulous patients. Though DM is a potent risk factor for periodontitis, leading to edentulism, statistical analysis of this study suggested that the oral health-related quality of life was affected significantly only due to edentulism and not due to DM. This is indicative of the fact that the quality of the prostheses itself determines the overall oral health-related quality of life, irrespective of whether the patient is a diabetic or not. Therefore, it can be said that the present trends of prosthodontic management of patients with DM are successfully restoring the patients physiological, psychological as well as social needs.
Complete edentulism is the terminal outcome of a multifactorial process involving biological factors and patient-related factors. Diabetes and edentulism are both potential comorbid factors governing the oral health-related quality of life. The correlation between the two is complex and needs a thorough evaluation to improve the overall health of patients in the current clinical practice.
开展本研究以评估全口无牙颌及糖尿病（DM）患者的口腔健康相关生活质量。该调查的零假设是无牙颌和糖尿病对患者的口腔健康相关生活质量均无影响。
一项描述性横断面研究。
研究人群分为三组：• 第1组：佩戴全口义齿的非糖尿病患者。• 第2组：佩戴全口义齿的糖尿病患者。• 第3组：糖尿病全口无牙颌患者。总共332例患者（200例男性和132例女性）。
采用电话和访谈调查方法对患者进行评估。
使用单因素方差分析（ANOVA）计算均值、标准差（SD）和 值。显著性水平设定为5%（* 值<0.05，*** 值<0.001，NS：无统计学意义）。分数越高，影响越大，反之亦然。采用事后Bonferroni检验进行多组间的组间比较。
从调查中收集的数据具有统计学意义，在佩戴义齿的全口无牙颌患者和糖尿病无牙颌患者之间观察到了结果。尽管DM是牙周炎的一个重要危险因素，可导致无牙颌，但本研究的统计分析表明，口腔健康相关生活质量仅因无牙颌而受到显著影响，而非DM。这表明无论患者是否为糖尿病患者，义齿本身的质量决定了整体口腔健康相关生活质量。因此，可以说目前DM患者口腔修复治疗的趋势正在成功地满足患者的生理、心理以及社会需求。
全口无牙颌是一个涉及生物学因素和患者相关因素的多因素过程的最终结果。糖尿病和无牙颌都是影响口腔健康相关生活质量的潜在合并因素。两者之间的相关性很复杂，在当前临床实践中需要进行全面评估以改善患者的整体健康状况。
