天然牙数量、牙齿维护就诊次数与糖尿病状况之间的关联：一项基于就业人群医保理赔数据库的横断面研究
Association among the number of natural teeth, dental maintenance visits and diabetes status: a cross-sectional study using employment-based healthcare claims database.
作者信息
Ishikawa Miki, Yasuda Takako, Nara Natsuki, Miyazawa Itsuko, Takase Naoko, Harada Kayo, Ishikado Atsushi, Morino Katsutaro
机构信息
R&D Department, Sunstar Inc., Takatsuki, Osaka Japan.
MinaCare Co., Ltd., Chiyoda-Ku, Tokyo, Japan.
出版信息
Diabetol Int. 2025 Feb 20;16(2):403-413. doi: 10.1007/s13340-025-00805-1. eCollection 2025 Apr.
AIM
Although diabetes is associated with the risk of tooth loss, there are no large-scale studies examining the reality and the effectiveness of dental maintenance visits in preventing tooth loss. We aimed to investigate the associations among the number of teeth, dental maintenance visits and diabetic status.
METHODS
This is a cross-sectional study: a database comprising employment-based health insurance claim and medical check-up data between April 2015 and March 2016. From the dental receipts for a total of 705,542 individuals aged 20-74 years, we calculated dental visits ratio. After excluding missing data on the number of teeth and HbA1c, the association between dental maintenance visits and the number of teeth was further examined in 185,820 individuals aged 40-69 years visited a dentist by diabetes status.
RESULTS
The percentage of dental visits was 46% overall, particularly low among younger subjects (34% in 20 s, 43% in 30 s), and increased with age. The maintenance-included group had a higher number of teeth than the treatment-only group, even at older ages, and this association was observed regardless of diabetes or glycemic control status. Furthermore, even with diabetes, the number of teeth in the group with good glycemic control was like that of non-diabetic.
CONCLUSION
Dental visits ratio was particularly low among younger subjects and those who receive dental maintenance had a higher number of teeth, regardless of diabetes or not. Adequate glycemic control and dental maintenance were associated with the number of teeth in the people with diabetes. The results suggest that it is important for physicians to work closely with dentists to promote patient-centered care and encourage both maintenance visits and better glycemic control.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s13340-025-00805-1.
目的
尽管糖尿病与牙齿脱落风险相关，但尚无大规模研究考察牙齿维护就诊预防牙齿脱落的实际情况及有效性。我们旨在研究牙齿数量、牙齿维护就诊次数与糖尿病状态之间的关联。
方法
这是一项横断面研究：一个包含2015年4月至2016年3月基于就业的健康保险理赔和体检数据的数据库。从总共705542名20 - 74岁个体的牙科收据中，我们计算了牙齿就诊率。在排除牙齿数量和糖化血红蛋白（HbA1c）的缺失数据后，在185820名40 - 69岁因糖尿病状态就诊牙医的个体中，进一步研究牙齿维护就诊与牙齿数量之间的关联。
结果
总体牙齿就诊率为46%，在较年轻受试者中尤其低（20多岁为34%，30多岁为43%），且随年龄增长而增加。即使在老年，包含维护治疗的组比仅接受治疗的组牙齿数量更多，并且无论糖尿病或血糖控制状态如何，均观察到这种关联。此外，即使患有糖尿病，血糖控制良好组的牙齿数量与非糖尿病组相似。
结论
牙齿就诊率在较年轻受试者中尤其低，且接受牙齿维护治疗的人牙齿数量更多，无论是否患有糖尿病。充分的血糖控制和牙齿维护与糖尿病患者的牙齿数量相关。结果表明，医生与牙医密切合作以促进以患者为中心的护理，并鼓励进行维护就诊和更好地控制血糖非常重要。
补充信息
在线版本包含可在10.1007/s13340 - 025 - 00805 - 1获取的补充材料。
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