Correlation between diabetes mellitus and number of restored, carious lesions and missing teeth: A retrospective radiographic evaluation

Abstract

Aim This study aimed to evaluate the prevalence of carious, restored, and missing teeth among diabetic and non-diabetic patients who visited dental clinics in Dammam, Saudi Arabia. Method This retrospective study was conducted between April and November 2018. The data collection procedure was conducted in two steps: (1) review of patient records for the demographic variables and (2) screening of digital panoramic radiographs (OPGs). The patients who visited the restorative and prosthetic clinics in the period of 2016–2017 were included in the study. Results A total of 1186 patient records and OPGs were reviewed to extract the data. The average age of the patients in the study sample was 40.96 (±16.29). The sample included 751 (63.3%) female and 435 (36.7%) male patients. Among the patients, 192 (16.2%) had diabetes mellitus and 994 (83.8%) were non-diabetic. The average numbers of fixed partial dentures and missing teeth were significantly high among diabetic patients ( P < 0.001). Conversely, the average numbers of carious lesions and restored teeth were higher among the non-diabetic patients. Only the number of restored teeth was found to be significant ( P < 0.001). Conclusion The diabetic patients were found to be at high risk of losing teeth compared with the non-diabetic patients. The prevalence of fixed partial dentures was also higher among diabetic patients. The oral health status of dental patients with diabetes needs urgent attention to prevent these patients from having teeth loss, and it can be done by improving their oral health.

Health Conditions and Tooth Loss in the Population of Brazil: National Health Survey (2013 and 2019)

“…As per WHO recommendation, the present study analysed 13 teeth as a minimum of twenty functional teeth are required for good oral health, 5 although it is not a consensus among similar studies. 5,7,8,25 A synergistic effect on increasing tooth loss 11,13 of those studied non-communicable chronic diseases has increased prevalence in recent decades 13,26,27 and those may have low oral health index from caries or periodontal disease, having a multifactorial origin, lead to tooth loss. 8,20,28 However, in our age-stratified analysis, only CVD was statistically associated with 13 or more teeth loss in the 65 years and older group (1.10: 95% CI: 1.05-1.15) in the 2019 analysis.…”

“…The following adjustment variables were considered because they are related to both exposures and outcome as confounders 2,[5][6][7][8][9]11,16,[20][21][22][23] : Gender (male/female); Current level of education (complete higher education, complete secondary education, complete primary education and incomplete primary education or less); Age (categorical in the descriptive analysis, being 18-34, 35-44, 45-54, 55-64 and >65 years old, and continuous in years in the multivariate analysis); Macro region of Brazil (since Brazil has continental dimensions: Southeast, South, Midwest, Northeast or North); Region (urban/rural); Smoking (no/yes); and Abusive alcohol consumption (no/yes). It was considered abusive to consume five or more doses for men and four or more doses for women, on a single occasion, in the last 30 days.…”

“…6 The presence of comorbidities, especially chronic diseases, influences the occurrence of tooth loss in several studies. 4,[7][8][9] An increased prevalence rate in relation to tooth loss has been shown in past decades with Arthritis/rheumatism, Depression, Diabetes Mellitus, Hypercholesterolemia, Systemic Arterial Hypertension and cardiovascular diseases. 10 In such a scenario, untreated chronic periodontal disease may cause tooth.…”

“…10 In such a scenario, untreated chronic periodontal disease may cause tooth. 4,8,7,9 The impact of such systemic conditions was studied in the elderly population, 11 although studies have found significant evidence of this relationship in middle-aged adults. 8,12 However, it is still not clear in what age group the presence of health conditions can lead to higher tooth loss.…”

<p>Comparison of Extraction Socket Healing in Non-Diabetic, Prediabetic, and Type 2 Diabetic Patients</p>

“…5,6 Data from several reports suggest that people with diabetes are at high risk of periodontal disease and tooth loss. [7][8][9] Previous research has not reported delayed wound healing and increased postoperative infections after tooth extraction. [10][11][12][13] Although there exists a systematic review on the management of tooth extraction in diabetic patients, there is a paucity of literature on the outcomes of tooth extraction in people with diabetes.…”