Type 2 diabetes and oral health - A comparison between diabetic and non-diabetic subjects
Type 2 diabetes and oral health - A comparison between diabetic and non-diabetic subjects
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DOI：
10.1016/s0168-8227(00)00159-5
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发表时间：
2000-09-01
影响因子：
5.1
通讯作者：
Wikblad, KF
中科院分区：
文献类型：
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作者：
Sandberg, GE;Sundberg, HE;Wikblad, KF
在瑞典的一个医疗保健区进行了一项对照横断面研究，旨在研究2型糖尿病患者的口腔健康。这项研究包括102名随机抽样的糖尿病患者和102名年龄和性别匹配的非糖尿病受试者，他们来自同一地理区域，在同一公共牙科服务诊所接受治疗。在临床和X线检查时测量口腔状况。糖尿病相关变量从医疗记录中提取。糖尿病患者口腔干燥（口干）的程度明显高于非糖尿病对照组（53.5%对28.4%; P = 0.0003）。糖尿病组中晚期牙周炎的发生率更高（P = 0.006），初始龋损也更高（P = 0.02）。糖尿病患者对牙周治疗（P = 0.05）、龋齿预防（P = 0.002）和修复矫正（P = 0.004）的需求更大。糖尿病病程或疾病的代谢控制与牙周状况无关。然而，与口服/饮食或联合治疗的患者相比，糖尿病持续时间较长的患者有更多明显的龋齿病变（P = 0.05），胰岛素治疗的患者也有明显的龋齿病变（P = 0.0001）。结论是2型糖尿病患者在某些口腔条件下表现出更差的健康状况。患者之间的密切合作。初级卫生保健和口腔卫生专业人员可以改善糖尿病患者的一般和口腔健康。(C)2000爱思唯尔科学爱尔兰有限公司保留所有权利。
A controlled cross-sectional study with the aim of studying oral health in patients with type 2 diabetes was carried out in a health care district in Sweden. The study included 102 randomly sampled diabetic patients and 102 age- and gender-matched non-diabetic subjects from the same geographical area, treated at the same Public Dental Service clinics. Oral conditions were measured at clinical and X-ray examinations. Diabetes-related variables were extracted from medical records. Diabetic patients suffered from xerostomia (dry mouth) to a significantly higher degree than non-diabetic controls did (53.5 vs. 28.4%; P = 0.0003). Sites with advanced periodontitis were more frequent in the diabetic group (P = 0.006) as were initial caries lesions (P = 0.02). Diabetic subjects showed a greater need of periodontal treatment (P = 0.05), caries prevention (P = 0.002) and prosthetic corrections (P = 0.004). Diabetes duration or metabolic control of the disease was not related to periodontal status. However, patients with longer duration of diabetes had more manifest caries lesions (P = 0.05) as had those on insulin treatment when compared with patients on oral/diet or combined treatment (P = 0.0001). The conclusion is that individuals with type 2 diabetes in some oral conditions exhibited poorer health. Close collaboration between the patient. the primary health care and oral health professionals could be a way of improving the diabetic patient's general and oral health. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.