Type 1 Diabetes Mellitus and Oral Health: Assessment of Periodontal Disease

Moore, Paul A.; Weyant, Robert J.; Mongelluzzo, Mary Beth; Myers, Daniel E.; Rossie, Karen M.; Guggenheimer, James; Block, Harvey M.; Huber, Heidi; Orchard, Trevor J.

doi:10.1902/jop.1999.70.4.409

Cited by 109 publications

(79 citation statements)

References 30 publications

(28 reference statements)

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“…They estimated greater bone loss in patients above the age of 55 years and found the older age to be significantly associated with severity of periodontal disease [15][16][17] . Some studies indicated that patient's aging may have more impact on the development of periodontitis than the state of DM (ref.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Severity of periodontal disease in adult patients with diabetes mellitus in relation to the type of diabetes

Pranckevičienė¹,

Siudikienė²,

Ostrauskas³

et al. 2014

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Section: Discussionmentioning

confidence: 99%

“…In one study tooth loss was reported to be associated with extensive periodontal disease as well as with prolonged duration of DM (ref. 16 ). In the present study, the duration of DM appeared to be a predictive factor for the development of severe periodontitis.…”

Section: Discussionmentioning

confidence: 99%

Severity of periodontal disease in adult patients with diabetes mellitus in relation to the type of diabetes

Pranckevičienė¹,

Siudikienė²,

Ostrauskas³

et al. 2014

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…However, there are many theories which propose factors such as advanced glycation end products, changes in collagen statue, and altered immune function that causes impaired polymorphonuclear leukocyte function which may facilitate bacterial persistence in the tissue and the accumulation of advanced glycation end products, which results from prolonged and chronic hyperglycaemia and increased secretion of pro-inflammatory cytokines such as tumour necrosis factor-α and prostaglandin 31,32 . The increase in collagenase activity together with the reduction in collagen synthesis will adversely influence collagen metabolism.…”

Section: Diabetes Mellitus and Periodontitismentioning

confidence: 99%

Different oral manifestations of diabetes mellitus and its complications a review

Kadiyala¹,

Kumar²

2017

Int j curr adv res

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Objective: To relate different oral manifestations and oral complications of diabetes mellitus Background: Diabetes mellitus is a chronic lifestyle disease affecting all age groups. It is one of the leading causes of mortality and morbidity worldwide. The term "diabetes mellitus" describes a group of disorders characterised by elevated levels of glucose in the blood and abnormalities of carbohydrate, fat and protein metabolism. A number of oral diseases and disorders have been associated with diabetes mellitus, and periodontitis has been identified as a possible risk factor for poor metabolic control in subjects with diabetes. The article will speak in depth about the complications of diabetes mellitus. This article aims to review and increase the awareness of oral manifestations and complications of diabetes mellitus and to stimulate research on the subject. Reason: It is important to know the different oral manifestations of diabetes mellitus to prevent its complications at the early stages. INTRODUCTIONDiabetes mellitus is a growing public health concern and a common chronic metabolic disease worldwide [1][2][3][4] . Diabetes mellitus represents a group of metabolic diseases that are characterised by hyperglycaemia due to a total or relative lack of insulin secretion and insulin resistance or both. The metabolic abnormalities involve carbohydrate, protein and fat metabolism. Diabetes mellitus affects all age groups, but is more common in adults. The World Health Organization (WHO) has recently declared it to be a pandemic 2 . Its prevalence has increased dramatically over the past few decades and it is expected to triple in the next decade. Diabetes mellitus is considered a leading cause of death due to its microvascular and macrovascular complications 5,6 . The most common types of diabetes are type 1 (insulin dependent) and type 2 (non-insulin-dependent) 7,8 . Type 2 is the more prevalent type. Countries with the highest rates of diabetes in the Eastern Mediterranean region and the Middle East are the United Arab Emirates, Saudi Arabia, Bahrain, Kuwait and Oman 9. Oman is one of the countries that has a high prevalence of diabetes mellitus, especially type 2 diabetes, and its prevalence is expected to increase in the next twenty years 10,11 .Various inflammatory diseases and soft tissue pathologies in oral cavities are associated with diabetes mellitus [12][13][14] . However, awareness of these complications is lacking worldwide [15][16][17][18] . Periodontal diseases have been proposed as the sixth most prevalent complication of diabetes mellitus following the other diabetic complications 19 . It has been reported as a more frequent oral complication of diabetes compared to other oral manifestations such as dry mouth and caries. Periodontitis is more frequent and severe in patients with diabetes with poor glycaemic control. Early identification and/or management of these oral manifestations may help in the early diagnosis of diabetes and in attaining better glycaemic control 20 . Therefore, diabetic oral c...

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“…A long duration of diabetes is a risk for periodontal diseases (Ainamo & Ainamo 1996, The American Academy of Periodontology 1996), and an association between the duration of diabetes and attachment loss has been found (Firatli et al 1996, Moore et al 1999). Contrary to this, no significant relation between the duration of diabetes and periodontal status has been found by Bridges et al (1996).…”

Section: Periodontal Diseasesmentioning

confidence: 99%

“…There is more attachment loss among adult IDDM subjects with poor metabolic balance and/or multiple complications, and in these patients probed pocket depth ≥ 4 mm re-occurs faster after periodontal therapy (Tervonen & Karjalainen 1997). Further, periodontal disease associates with retinopathy (Rosenthal et al 1988, Karjalainen et al 1994, renal disease and cardiovascular complications (Thorstensson et al 1996) as well as neuropathy (Rosenthal 1988, Moore et al 1999.…”

Section: Periodontal Diseasesmentioning

confidence: 99%

Communication and Community

Shepherd¹,

Rothenbuhler²

2000

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Associations have been found between diabetes status and periodontal diseases and dental caries. In addition to biological explanations, psychological features can be proposed to affect the relations between oral health and IDDM (=insulin-dependent diabetes mellitus). The aim of this study was to evaluate the psychological features characterizing oral hygiene practices, dental visiting and diabetes self-care. The research population consisted of 149 IDDM patients, and cross-sectional data were collected by a quantitative questionnaire, in clinical examinations and from patient records.There was a positive correlation between the sum scores for dental self-efficacy and diabetes self-efficacy and, correspondingly, between the dental and diabetes locus of control beliefs. High self-esteem was found to associate with good adherence to some specific health behaviors, such as tooth brushing, exercising and insulin adjustment. When Weiner´s attribution theory was used, there were similarities in the causal thinking in oral and diabetes view. All in all, especially the perception of self-efficacy was found to be a powerful feature characterizing health behavior. There were overlapping relations showing an association of high dental self-efficacy with good diabetes adherence, of high diabetes self-efficacy with frequent dental visiting, and of good metabolic control with high tooth brushing self-efficacy, frequent tooth brushing and low plaque level. On the basis of these results, enhancement of self-efficacy appears important.These results suggest that there might, indeed, be some common psychological features for both oral health behavior and diabetes self-care. These could partly explain the relations between diabetes status and periodontal diseases and dental caries. The results can be utilized in patientcentered health education by identifying and enhancing the psychological features that characterize health behavior and health status. The results emphasize the need for co-operation between dental and diabetes health care professionals in their daily practice.

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Type 1 Diabetes Mellitus and Oral Health: Assessment of Periodontal Disease

Abstract: Management and prevention of extensive periodontal disease for Type 1 diabetic patients should include strong recommendations to discontinue cigarette smoking.

Cited by 109 publications

References 30 publications

Severity of periodontal disease in adult patients with diabetes mellitus in relation to the type of diabetes

Severity of periodontal disease in adult patients with diabetes mellitus in relation to the type of diabetes

Different oral manifestations of diabetes mellitus and its complications a review

Communication and Community

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