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Oral Health & Preventive Dentistry

Edited by Jean-Francois Roulet, Poul Erik Petersen, Anton Sculean

Official journal of the World Congress of Minimally Invasive Dentistry

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


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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