Factors Related to Caries Risk among Diabetes Mellitus Patients in Sangkha Hospital, Surin Province
Keywords:High caries risk, Diabetes, Oral health behavior
Background : Oral complications related to diabetes include dry mouth, a burning sensation, dysgeusia, and enlargement of the parotid salivary glands; moreover, it is clear that diabetes is associate with periodontal disease. However, the relationship between diabetes and dental caries is still under dispute.
Objective : To evaluate the factors that impact the state of the high risk of dental caries in patients with diabetes.
Method : Two hundred and one diabetic patients in Sangkha Hospital, Surin Province were interviewed and received an oral examination for collecting the data. Dental caries were assessed by a cariogram. The interview aimed to collect data such as age, sex, level of education, occupation and monthly income. Participants were surveyed on oral health knowledge, attitudes, and behaviors towards oral health. Oral health conditions were mainly evaluate by dental examination, plaque index and periodontal examination, further information included items such as unusual tooth morphology, interproximal restorations, exposed root surfaces, restorations with overhangs or open margins, open contacts, and dental appliances. Diabetic data was retrieved from hospital medical records, including the type of diabetes, duration of diabetes, and fasting blood sugar level (FBS).
Results : 170 participants had a high risk of dental caries, whereas 31 patients had a low and moderate risk. Fifty participants were male (24.9%) and 151 participants were female (75.1%). Regarding age, 133 people were under 60 years, and 68 participants were aged 60 years or more. For the levels of education, 170 participants had completed primary school, 20 had finished junior high school, 10 had completed high school and one person had graduated with a master’s degree. The correlation analysis by was analyzed by multivariable logistic regression had found that patients with unusual tooth morphology had high risk of developing caries. Participants with unusual tooth morphology had 2.8 times greater chances to develop dental caries compared to those without unusual tooth morphology (OR 2.8, 95% CI: 1.1, 7.3).
Conclusions : Diabetic patients with unusual tooth morphology are associated with a high risk of dental caries.
Bastaki A. Diabetes mellitus and its treatment. International journal of Diabetes and Metabolism. 2005; 13: 111-34.
World Health Organization. Global report on diabetes. WHO Library Cataloguing-in-Publication Data.Switzerland:WHO; 2016.
Health promition policy research centor. Report of NCDs. International health policy program. 2559; 2: 19-22.
Indurkar MS, Maurya AS, Indurkar S. Oral manifestations of diabetes. Clin Diabetes 2016; 34: 54-7.
Ship JA. Diabetes and oral health: an overview. J Am Dent Assoc 2003; 134: 4S-10S.
Pedersen AML. Diabetes mellitus and related oral manifestations. Oral Biosci Med 2004; 1: 229-48.
Moore PA, Guggenheimer J, Etzel KR, Weyant RJ, Orchard T. Type 1 diabetes mellitus, xerostomia, and salivary flow rates. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 281-91.
Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF. Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract 2000; 50: 27-34.
Anderson LC. Hormonal regulation of salivary glands, with particular reference to experimental diabetes. Glandular mechanisms of salivary secretion. Front Oral Biol Series. Basel: Karger; 1998:200-1.
Newrick PG, Bowman C, Green D, O’Brien IA, Porter SR. Parotid salivary secretion in diabetic autonomic neuropathy. J Diabet Complications 1991; 5: 35-7.
Gandara BK, Morton TH. Non-periodontal oral manifestations of diabetes: a framework for medical care providers. Diabetes Spectrum. 2011; 24: 199-205.
Whelton H, Edgar M, Dawes C, O’Mullane D. Functions of saliva. In Saliva and Oral Health. 3rd ed. London: British Dental Association; 2004.
Karjalainen KM, Knuuttila ML, Kaar ML. Relationship between caries and level of metabolic balance in children and adolescents with insulin-dependent diabetes mellitus. Caries Res 1997; 31: 13-8.
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007; 369: 51-9.
Haloi R, Ingle NA, Kaur N. KAP Surveys and oral health: a detailed review. Journal of Contemporary Dentistry 2014; 4: 99.
Costa SM, Martins CC, Bonfim MD, Zina LG, Paiva SM. A systematic review of socioeconomic indicators and dental caries in adults. Int J Environ Res Public Health 2012; 9:3540-74.
Tellez M, Gomez J, Pretty I, Ellwood R, Ismail AI. Evidence on existing caries risk assessment systems: are they predictive of future caries?. Community Dent Oral Epidemiol 2013; 41: 67-78.
Health data center. Health status non-communicable diseases; 2560 [cited 2017 Nov.10] Available from: https:// hdcservice.moph.go.th/hdc/reports/
Taro Yamane. Statistic: an Introductory Analysis. 2nd ed. New York: Harper & Row; 1970.
Rafatjou R, Razavi Z, Tayebi S, Khalili M, Farhadian M. Dental health status and hygiene in children and adolescents with type 1 diabetes mellitus. J Res Health Sci 2016; 16: 122-6.
Hintao J, Teanpaisan R, Chongsuvivatwong V, Dahlen G, Rattarasarn C. Root surface and coronal caries in adults with type 2 diabetes mellitus. Community Dent Oral Epidemiol 2007; 35: 302-9.
Yonekura S, Usui M, Murano S. Association between numbers of decayed teeth and HbA1c in Japanese patients with type 2 diabetes mellitus. Ups J Med Sci 2017; 122: 108-13.
American Diabetes Association. Classification and Diagnosis of Diabetes. Diabetes Care 2017; 40: 11-24.
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