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Objective: To compare oral status and oral health care behaviors between non-chronic kidney disease and chronic kidney disease in diabetic patients.
Methods: This study is a retrospective study by reviewing medical records of 314 type 2 diabetic patients attending health center 67 Thaweewatthana. The data includes demographic characteristics, oral status (DMFT, number of functional teeth, pairs of occlude teeth, periodontal status (CPI)), oral health care behaviors and glomerular filtration rate. Patients were classified into 3 groups according to the severity of chronic kidney disease (CKD) (G0: diabetes without CKD, n=113, G12: diabetes with mild CKD, n=142, G345: diabetes with moderate to severe CKD, n=59). The quantitative data was analyzed by ANOVA (Analysis of Variance) and LSD (Least Significant Difference) statistics. The significant level was set as 0.05. The qualitative data was analyzed by Chi-square statistics. The significant level was set as 0.05.
Results: Age (years) (G0: 60.2±8.8 G12: 64.5±9.1 G345: 70.2±10.5) and DM duration (years) (G0: 8.4±5.2 G12: 10.3±5.7 G345: 12.4±8.3) were statistically significant (p<0.001). DMFT (G0: 11.9±7.8 G12: 15.8±9.0 G345: 17.6±8.3), number of functional teeth (G0: 21.4±8.5 G12: 15.5±10.5 G345: 14.0±10.6), pairs of occlude teeth (G0: 4.1±3.2 G12: 2.6±3.0 G345: 2.1±3.0) were statistically significant (p<0.001). No statistical significance was found in oral health care behaviors and periodontal status between diabetes groups (p>0.05).
Conclusion: Statistical significance was found in age, DM duration, DMFT, number of functional teeth, pairs of occlude teeth between non-chronic kidney disease and chronic kidney disease in diabetic patients. These results can be applied as dental health education and provide dental treatment plan for diabetics patients.
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