Evidence summary: The relationship between oral diseases and diabetes

D’Aiuto, Francesco; Gable, David; Syed, Zahra; Allen, Yasmin; Wanyonyi, Kristina; White, Sandra; Gallagher, Jennifer E.

doi:10.1038/sj.bdj.2017.544

Cited by 87 publications

(68 citation statements)

References 36 publications

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“…Finally, the review paper by D'Aiuto et al. () with the broader aim to summarize the relationship between diabetes and oral diseases conducts a brief review of meta‐analyses of RCTs between 2005 and 2015. Out of the nine meta‐analyses, six are included in the present report.…”

Section: Discussionmentioning

confidence: 99%

An update of the evidence on the potential impact of periodontal therapy on diabetes outcomes

Madianos

Koromantzos

2017

J Clinic Periodontology

107

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Section: Discussionmentioning

confidence: 99%

An update of the evidence on the potential impact of periodontal therapy on diabetes outcomes

Madianos

Koromantzos

2017

J Clinic Periodontology

107

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“…In older adults, poor oral health has been associated with numerous diseases, including cardiovascular disease, respiratory disease, and diabetes, as well as incident frailty . Frailty is a clinical state in which there is an increase in an individualʼs vulnerability for developing dependency and/or mortality when exposed to a stressor .…”

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confidence: 99%

Oral Health, Diet, and Frailty at Baseline of the Canadian Longitudinal Study on Aging

Bassim

Mayhew

Kanters

et al. 2020

J American Geriatrics Society

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OBJECTIVES: Poor diet due to poor oral health was proposed as a potential mediator of the association between poor oral health and frailty. This study explores the cross-sectional associations between poor oral health, poor diet, and frailty in Canadian adults, aged 45 to 85 years, and then tests whether the expected oral health-frailty association is changed by taking into account the pathway through poor diet. DESIGN: Cross-sectional study. SETTING: The baseline wave of the Canadian Longitudinal Study on Aging, a nationally representative population study. PARTICIPANTS: Data from 28 738 community-dwelling participants, aged 45 to 85 years. MEASUREMENTS: We characterized poor oral health (cumulative count of 24 items of oral health problems), poor diet (scale of poor food consumption from 7 healthy foods groups), and frailty (cumulative frailty index of 76 items). Regression-based path analyses were used to investigate associations between poor oral health, poor diet, and frailty, adjusted for age group, sex, income, smoking, living alone, education, physical activity, social support, and dental visit. RESULTS: Poorer oral health was associated with low income, smoking, low physical activity, low social support, and no dental visit. There were associations between poorer oral health and poorer diet (effect size β adjusted = .40; 95% confidence interval [CI] = .20-.61) and between poorer oral health and increased frailty (β adjusted = .85; 95% CI = .68-1.02). The indirect effect through the path of poor diet was approximately 0.01 (95% CI = 0.01-0.02) (ie, explaining 1% of the effect of poor oral health on frailty). CONCLUSIONS: Poor oral health was associated with poor diet and frailty. Each additional oral health problem was associated with an increase of approximately 1 frailty index point, even after full adjustment for poor diet. The indirect effect of poor oral health through poor diet was modest. Though poor oral health was associated with poorer diet quality, a more direct effect of poor oral health on increasing frailty may be indicated. J Am Geriatr Soc 68:959-966, 2020.

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“…14 Diabetes also increases the severity of periodontitis; that is, patients have greater clinical attachment loss and probing pocket depths. 15,16 Diabetes is considered as a modifiable risk factor for periodontitis because, although it cannot be cured, it can be controlled.…”

Section: : What Do I Need To Be Aware Of When Treating Pregnant Patimentioning

confidence: 99%

Periodontal care in general practice: 20 important FAQs - Part one

Wadia¹,

Chapple

2019

BDJ Team

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answers to common periodontal care questions facing dental professionals in general practice. 1: Does periodontitis affect quality of life? Periodontitis is a common, chronic, multifactorial, inflammatory condition affecting the supporting tissues of the teeth. It leads to the progressive destruction of the tooth supporting apparatus and eventual tooth loss. There is now overwhelming evidence that periodontitis has a negative impact on oral health-related quality of life. 1,2,3,4,5 Significant impacts have been shown in the functional, physical, social and psychological domains. Severe periodontitis appears to have a greater impact than mild to moderate periodontitis. 6,7,8 It is important to be aware of this impact when assessing patients in practice. Discussions might include psychological concerns, halitosis, pain, and poor aesthetics. The periodontal treatment plan should be based on both the needs diagnosed by the clinician but also those perceived by the patient. The latest 'Global burden of diseases, injuries and risk factors' study demonstrated that, from 354 diseases/ injuries measured across 195 countries, the greatest age-standardised prevalence of 'years lived with disease' in both 1990 and 2017 were oral disorders, headache disorders, and tuberculosis including latent tuberculosis. 9 The periodontal data were true for both males and females and, unlike caries where age-standardised percentage rates had decreased, in periodontal diseases rates had increased between 2007 and 2017. 9 2: What's the latest on the role of diabetes in periodontitis? Diabetes mellitus is a long-term condition characterised by an inability to control blood glucose levels due to an absolute or relative lack of the hormone insulin or a lack of cell responsivity to insulin (insulin resistance). 10 The majority of people with diabetes can be classified as having type 1 or type 2, with type 2 diabetes being eight to nine times more common than type 1. In the UK, there are at least 3.2 million CPD: ONE HOUR CPD questions This article has four CPD questions attached to it which will earn you one hour of verifiable CPD. To access the free BDA CPD hub, go to https://cpd.bda.org/ login/index.php

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Evidence summary: The relationship between oral diseases and diabetes

Cited by 87 publications

References 36 publications

An update of the evidence on the potential impact of periodontal therapy on diabetes outcomes

An update of the evidence on the potential impact of periodontal therapy on diabetes outcomes

Oral Health, Diet, and Frailty at Baseline of the Canadian Longitudinal Study on Aging

Periodontal care in general practice: 20 important FAQs - Part one

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