J Clin Transl Endocrinol. 2016 Jun;4:28-31. doi: 10.1016/j.jcte.2016.02.003.
DENTAL LOSS AMONG AMBULATORY PATIENTS WITH DIABETES.
Journal of clinical & translational endocrinology
Kenneth E Izuora, Echezona E Ezeanolue, Michael F Neubauer, Civon L Gewelber, Gayle L Allenback, Guillermo E Umpierrez
Affiliations
Affiliations
- Internal Medicine, University of Nevada School of Medicine - Las Vegas, 1701 West Charleston Boulevard, Suite 230, Las Vegas, NV 89102, USA.
- School of Community Health Sciences, University of Nevada - Las Vegas, 4505 Maryland Parkway, Las Vegas, NV 89154, USA.
- School of Dental Medicine, University of Nevada - Las Vegas, 1700 West Charleston Boulevard, Las Vegas, NV 89102, USA.
- Office of Medical Research, University of Nevada School of Medicine - Las Vegas, Suite 290, 1701 West Charleston Boulevard, Las Vegas, NV 89102, USA.
- Endocrinology, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA 30322, USA.
PMID: 27088077
PMCID: PMC4827258 DOI: 10.1016/j.jcte.2016.02.003
Abstract
AIMS: There is a high prevalence of dental loss among patients with diabetes. Understanding the factors that impact dental loss in this population will aid with developing new strategies for its prevention.
METHODS: Using a cross-sectional study design, diabetes patients presenting for routine clinic visit were evaluated with an investigator-administered questionnaire. Data was collected on demographics, dental history, duration, control and complications of diabetes.
RESULTS: Among 202 subjects, 100 were female, mean age: 58.9 ± 13.2 years, duration of diabetes: 15.8 ± 11.0 years, and hemoglobin A1c: 7.7 ± 1.6%. Thirty-one patients (15.3%) had lost all their teeth and only 13 (6.4%) had all 32 of their natural teeth. Using multiple linear regression, older age (β= - 0.146; 95% CI: - 0.062 to - 0.230), not flossing (β= - 3.462; 95% CI: - 1.107 to - 5.817), and presence of diabetic retinopathy (β= - 4.271; 95% CI: - 1.307 to - 7.236) were significant predictors of dental loss.
CONCLUSIONS: Dental loss is common in patients with diabetes and is associated with older age, diabetic retinopathy and not flossing. In order to reduce dental loss among patients with diabetes, regular flossing should be emphasized as an important component of dental care.
Keywords: Diabetes; complications; dental loss
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