Oral self-care practices, oral health status and treatment needs in diabetic and non-diabetic patients undergoing orthodontic treatment

Shekhar K. Asarsa; Gopal; Shivani Bisht

doi:10.18203/2394-6040.ijcmph20243299

Authors

Shekhar K. Asarsa Department of Orthodontics and Dentofacial Orthopaedics, Siddhpur Dental College and Hospital, Siddhpur, Gujarat, India
Gopal Uttaranchal College of Health Sciences, Uttaranchal University, Dehradun, Uttarakhand, India
Shivani Bisht Paramedical Department, Combined (P.G.) Institute of Medical Science and Research, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20243299

Keywords:

Periodontal status, Orthodontic treatment, WHO oral health assessment proforma, Oral self-care practices, Diabetes mellitus

Abstract

Background: Diabetes mellitus is a chronic metabolic disease characterized by hyperglycemia resulting either from defects in insulin secretion, action, or both, affecting almost all tissues in body, including those in oral cavity and hence the aim of this study is to assess oral self-care practices, oral health status and treatment needs of diabetic and non-diabetic patients undergoing orthodontic treatment.

Methods: A cross-sectional descriptive study was conducted among 120 each diabetic and non-diabetic patients ranging from 14-35 years undergoing orthodontic treatment. Data was collected using pre tested questionnaire for oral self-care practices and WHO proforma (1997) was used for assessing oral health status and treatment needs. Data was analyzed using SPSS version 17.

Results: The present study revealed that there was not much difference in the oral hygiene practices among both groups. Percentage of oral mucosal lesions, Pocket formation, Loss of Attachment and mean DMFT was high among diabetic group when compared to non-diabetics.

Conclusions: Since the prevalence of periodontitis is more among diabetic, the oral hygiene practices have to be improved. The oral complications of diabetes can be prevented by combined effect of dentist and the Physician by emphasizing the patients for periodic review to dentist for improving the oral health.

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References

Puranik MP, Hiremath SS. Oral Health Status and Treatment Needs among adult diabetic and non-diabetic patients in Bangalore city. JIAPHD 2006;8:31-7.

Park K. Text book of preventive and social medicine. Jabalpur. Banarsidas Bhanot. 2009;20:8.

American diabetes association, Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 1998;21(2):1–167.

Reddy VC, Kesavan R, Ingle N. Dentition status and treatment needs among type ii diabetic and non-diabetic individuals in Ahmedabad city-A comparative study. J Oral Health Comm Dent. 2011;5(2)79-85.

Ship JA. Diabetes and oral health: An overview. J Am Dent Assoc. 2003;134:4-10.

Wild S, Roglic G, Green A, Sicree R and King H. Global Prevalence of Diabetes Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047-53.

Day C. The rising tide of type 2 diabetes. Br J Diabetes. Vasc Dis. 2001;1:37–43.

Mohan V, Sandeep S, Deepa R, Shah B and Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125:217-30.

Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance. In: Gan D, editor. Diabetes Atlas. International diabetes federation. 3rd ed. Belgium: Inter Diab Feder. 2006:15-103.

Mizra KM, Ali MA, Khan AA, Chaudhry S. Oral health knowledge, attitude, and practices and sources of information for diabetic patients in Lahore, Pakistan. Diabetes Care. 2007;30(12):3046-47.

Matthews DC. The relationship between diabetes and periodontal disease. J Can Dent Assoc. 2002;68:161-4.

Loe P. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes care. 1993;16:329-34.

Grossie SG, Geneo RJ. Periodontal disease and diabetes mellitus: A two-way relationship. Ann Periodontol. 1998;3:51-61.

Mohan V, Deepa M, Deepa R, Shanthirani CS, Farooq S, Ganesan A, et al. Secular trends in the prevalence of diabetes and impaired glucose tolerance in urban Gujarat. Urban Rural Epidemiology Study (CURES-17). Diabetologia. 2006;49:1175-8.

Bacic M, Plancak D and Granic M. CPITN assessment of Periodontal disease in diabetic patients. J Periodontol. 1988;59(12):816-22.

Emrich LJ, Shlossman M, and Genco RJ. Periodontal disease in non- insulin dependent diabetes mellitus. J Periodontol. 1991;62(2):532-36.

Firatli E. The relationship between clinical periodontal status and insulin dependent Diabetes Mellitus. Results after 5 years. J Periodontol. 1997;68:136-40.

Collin HL, Uusitupa M, Niskanen L, Narhi VK, Koivisto HMA, and Meurman JH et al. periodontal findings in elderly patients with non- insulin dependent diabetes mellitus. J Periodontol. 1998;69(9):962-6.

Moore PA, Weyant RJ, Mongelluzzo MB et al. Type I diabetes mellitus and oral health: Assessment of periodontal disease. J Periodontol. 1999;70:409-17.

Guggenheimer J, Moore PA, Rossie K. Insulin dependent diabetes mellitus and oral soft tissue pathologies. Prevalence and characteristics of non-candidal lesion. Oral Surg Oral Med Oral Pathol. Oral Radiol Endod. 2000;89:563-9.

Tsai C, Hayes C and Taylor GW. Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dent Oral Epidemiol. 2002;30:182-92.

Karikoski A, Ilanne-Parikka P, Murtomaa H. Oral self-care among adults with diabetes in Finland. Community Dent Oral Epidemiol. 2002;30:216-23.

Blanco JJA, Villar BB, Martinez PS, Blanco FJA. Bucco dental problems in patients with Diabetes Mellitus (I): Index of Plaque and dental caries. Medicina Oral. 2003;8:97-109.

Lalla E, Park DB, Papapanou PN and Lamster IB. Oral disease burden in Northern Manhattan patients with Diabetes Mellitus. Am J Public Health. 2004;94(5):755-8.

Siudikiene J, Maciulskiene V, Dobrovolskiene R, Nedzelskiene I. Oral hygiene in children with type i diabetes mellitus. Stomatologija, Baltic Dental Maxill J. 2005;7:24-7.

Campus G, Salem A, Uzzau S, Baldoni E, and Tonolo G. Diabetes and Periodontal Disease: A case – control study. J Periodontol. 2005;76:418-25.

Garcia ER, Padilla AM, Romo SA, Ramirez MAB. Oral mucosa symptoms, signs and lesions, in end stage renal disease and non-end stage renal disease diabetic patients. Med Oral Pathol Oral Cir Bucal. 2006;11:467-73.

Hintao J, Teanpai R, Chongsuvivotwong V, Dahlen G and Rattarasan C. Root Surface and coronal caries in adults with type 2 diabetes mellitus. Community Dent Oral Epidemiol. 2007;35:302-9.

Chandu GN, Prashant GM, Shivakumar KM et al. Prevalence of dental caries and periodontal status among diabetic patients of Davangere city, Karnataka, India. JIAPHD. 2007;9:33-6.

Reddy CVK, Maurya M. A comparative study to assess the oral health status and treatment needs of diabetics and non-diabetic population attending some of the hospitals in Mysore city. JIAPHD. 2008;12:1-14.

Alvis C, Brandao M, Andion J, Menezes R. Oral Health Knowledge and Habits in Children with Type I Diabetes Mellitus. Braz Dent. 2009;20(1):70-3.

Orlando VA, Johnson LR, Wilson AR, Maahs DM, Wadwa RP, Bishop FK, et al. Oral Health Knowledge and behavoirs among adolescents with Type I Diabetes. Int J of Dent. 2010;14:35-43.

Shenoy N, Sholapurkar AA, Pai KM, Adhikari P. oral health status in geriatric Diabetes. Rev Clin Pesq Odontol. 2010;6(1):63-9.

Das M, Upadhyaya V, Ramachandran SS, Jithendra KD. Periodontol treatment needs in diabetic and non-diabetic individuals: A case control study. Indian J Dent Res. 2011;22:291-4.

Mittal M, Teeluckdharry H. Prevalence of Periodontal diseases in diabetic and non-diabetic patients- A clinical study. Int J Epid. 2011;10:54-9.

Xiao-Ren P: Changing prevalence of diabetes. in diabetes towards the new millennium. third international diabetes federation western pacific congress, Hong Kong. 1996;3:16.

Southerland JH, Taylor GW and Offenbacher S Diabetes and Periodontal Infection: Making the Connection. Clinical Diabetes. 2005;23(4):171-78.

Attas AS, Oda SA. Caries experience and selected caries risk factors among a group of adult diabetics. Saudi Dental J. 2008;20(3):129-39.

Poudyal S, Rao A, Shenoy R, Priya H. Utilization of dental services in a field practice area in Mangalore, Karnataka. Indian J Community Med. 2010;35:424-5.