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Oral Health & Preventive Dentistry

Edited by Prof. Dr. Jean-François Roulet, Prof. Dr. Dr. Niklaus P. Lang, Prof. Dr. Palle Holmstrup

Official journal of the Academy of Minimally Invasive Dentistry, the World Congress of Microdentistry, and the European Society of Preventive Dentistry

ISSN (print) 1602-1622 • ISSN (online) 1757-9996

Publication:

Summer 2008
Volume 6 , Issue 2



Pages: 105-118
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Oral Health Status of Low-income, Middle-aged to Elderly Hong Kong Chinese with Type 2 Diabetes Mellitus

Leung, W. Keung / Shing-Chung-Siu / Chu, Frederick C.S. / Wong, Ka Wai / Jin, Lijian / Sham, Arthur S.K. / Tsang, C.S. Peter / Samaranayake, Lakshman P.

Purpose: To study oral health conditions, diabetic medical complications and their association in type 2 diabetes mellitus (DM). Materials and Methods: Cross-sectional survey of 364 type 2 DM patients (63.6 10.1 years, 54% female) and 161 controls (64.1 10.6 years, 53% female) with or without essential hypertension, predominantly low-income, attending a hospital were recruited. Periodontal disease (Community Periodontal Index [CPI]) and dental status (decayed, missing and filled teeth [DMFT]) were recorded. Fasting plasma glucose and, for DM patients, HbA1C and DM complications were recorded on enrolment and follow up, respectively. Results: Many DM subjects had fair diabetic control. Both groups (control/DM) had poor oral health: DMFT = 14.5/16.8, CPI 4 = 36%/50%, (P <0.02) while DM subjects had less DT(adjusted) = 2.1/1.4 (P <0.01). Of the follow-up DM individuals, 294 (81%) had medical complication(s). Regression analyses showed association between advanced periodontal attachment loss (ALoss) and age, male gender, smoking and DM; MT and DMFT were associated with age, female gender, smoking, DM and hypertension. ALoss and DMFT were not associated with DM complications. Conclusions: The oral health of the surveyed Chinese subjects was poor. Type 2 DM subjects were affected more by ALoss and MT but less DT. Subjects with hypertension had higher odds for MT.

Keywords: dental caries, diabetes complications, diabetes mellitus, DMF index, periodontal disease, type 2 diabetes mellitus

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