Diabetes and oral disease: implications for health professionals

BackgroundCurrently, there is an increased prevalence of diabetes mellitus among the elderly. To minimize adverse effects on glycemic control, prevention and management of general and oral complications in diabetic patients is essential. The purpose of the present study is to assess the effectiveness of a Lifestyle Change plus Dental Care (LCDC) program to improve glycemic and periodontal status in the elderly with type 2 diabetes.MethodsA quasi-experimental study was conducted in Health Centers 54 (intervention) and 59 (control) from October 2013 to January 2014. 66 diabetic patients per health center were included. At baseline, the intervention group attended a 20 minute lifestyle and oral health education program, individual lifestyle counseling using motivational interviewing (MI), application of self regulation manual, and individual oral hygiene instruction. The intervention group received booster education every visit by viewing a 15 minute educational video. The control group received a routine program. Participants were assessed at baseline and 3 month follow up for glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), body mass index (BMI), periodontal status, knowledge, attitude and practice of oral health and diabetes mellitus. Data were analyzed by using descriptive statistic, Chi-square test, Fisher’s exact test, t-test, and multiple linear regression.ResultsAfter the 3 month follow up, a multiple linear regression analysis showed that the intervention group was significantly negatively correlated in both glycemic and periodontal status. Participants in the intervention group had significantly lower glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), plaque index score, gingival index score, pocket depth, clinical attachment level (CAL), and percentage of bleeding on probing (BOP) when compared to the control group.ConclusionsThe combination of lifestyle change and dental care in one program improved both glycemic and periodontal status in the elderly with type 2 diabetes.Trial registrationClinicalTrials.in.th: TCTR20140602001.

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“…Furthermore, the prevalence of DM and oral manifestations of DM including periodontal disease also increase in the elderly [2]. …”

Section: Introductionmentioning

confidence: 99%

“…Periodontal disease and DM have a bidirectional relationship [2]. The effects of DM on periodontal health and periodontal infection also affect glycemic control.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes

Saengtipbovorn

Taneepanichskul

2014

BMC Oral Health

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“…18 Finding from another study conducted in Riyadh in 2012, on 283 T2DM patients concluded that gender, economic status, and complications of DM were independent risk factors for the majority of the subscales of HRQOL. 19 The present study aims to measure the oral health status of DM patients in contrast with healthy individuals in Hail, Saudi Arabia. To our best knowledge, this is first study of its kind in Hail region.…”

Section: Discussionmentioning

confidence: 99%

Oral Health-related Knowledge and Assessment of Oral Health Status of Diabetic Patients Attending Dental Clinic at College of Dentistry, Hail, Kingdom of Saudi Arabia

Mian

Rashidi

Alshammary

et al. 2020

The Journal of Contemporary Dental Practice

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Aim:This study was aimed to evaluate the oral health status and knowledge of diabetic and nondiabetic patients attending dental clinic at College of Dentistry, Hail, the Kingdom of Saudi Arabia. Materials and methods: It was an observational cross-sectional study. Using nonprobability convenient sampling technique, data were collected from 202 respondents. A total of 202 diabetic and nondiabetic patients were screened for the study. Data were collected by interview using the structured, self-administered questionnaire, and assessment of oral health status was done by clinical examination. The collected data were analyzed using IBM SPSS software. The data were displayed as numbers and percentages and association among the variable of interests was measured using Pearson Chi-square. Results: Of the 202 patients, 102 (50.6%) were males and 100 (49.4%) were females. Majority of the patients, 71 (35.2%) were in the age-group of 30-40 years. In all, 128 (63.4%) participants knew the effect of diabetes mellitus (DM) on oral health, 167 (82.7%) knew that diabetic patients needed special healthcare, 152 (75.25%) had never spoken to their doctors about oral health, and 164 (81.19%) had never spoken to their dentists regarding diabetes. Conclusion: The complications associated with oral health are more common in diabetic patients when compared to the nondiabetic patients. This is the case in both male and female patients visiting the College of Dentistry in the Hail region. Clinical significance: Diabetes mellitus is associated with increased susceptibility to oral infections especially periodontal disease. Role of a general dentist in diagnosis and raising patient awareness toward DM and its effects on oral health need to be emphasized.

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“…It constitutes a worldwide epidemic, with complications that have a significant impact on the quality of life and longevity of patients, as well as on healthcare costs [1][2][3]. Healthcare users are increasingly resorting to the Internet as a source of information, but out-of-date or misleading medical information is a major obstacle to the provision of worthwhile help [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

YouTube Information about Diabetes and Oral Healthcare (Preprint)

Pons-Fuster¹,

Juan²,

Tvarijonaviciute³

et al. 2018

Preprint

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Aim: Diabetes mellitus is a chronic disease that is increasing at an alarming rate all over the world. The aim of this study was to assess the information available on YouTube on diabetes and oral healthcare. Methods:This cross-sectional study made a search in YouTube (https://www.youtube.com/) applying the search terms "oral healthcare for diabetics." Two reviewers assessed the videos and categorized them into useful, misleading or personal experience, and scored them using a global quality scale (GQS) from 1-5 according to their overall quality (1 = poor quality; 5 = excellent quality). The source of each video was also registered, as was user interaction with each video.Results: A total of 97 videos were included for analysis. Of these, 30 (30.9%) contained useful information, 61 (62.9%) contained misleading information, and six (6.2%) recounted personal experiences. Overall quality scores showed statistically significant differences between those containing useful information and those with misleading information and personal experience (p=0.001). Significant differences in content were also found regarding oral hygiene (p=0.022), periodontitis (p=0.002), and infection (p=0.04). Conclusions:YouTube provides informative videos about oral healthcare for diabetics. The quality of the videos was variable and the videos recorded by dental professionals and Universities showed a higher quality. Further research is needed into oral healthcare for diabetics.

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Diabetes and oral disease: implications for health professionals

Cited by 86 publications

References 70 publications

Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes

Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes

Oral Health-related Knowledge and Assessment of Oral Health Status of Diabetic Patients Attending Dental Clinic at College of Dentistry, Hail, Kingdom of Saudi Arabia

YouTube Information about Diabetes and Oral Healthcare (Preprint)

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