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Oral condition and Oral Health Promotion Method in Diabetes Mellitus  

Lee, Hee-Kyung (Department of Dentistry, College of Medicine, Yeungnam University)
Park, Eun-Young (Department of Dentistry, College of Medicine, Yeungnam University)
Lee, Sung-Kook (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
Publication Information
Korean Journal of Health Education and Promotion / v.24, no.4, 2007 , pp. 149-159 More about this Journal
Abstract
This study was intended to provide basic data for developing an oral health management program for diabetic patients by understanding their oral health condition and defining the influence of diabetes on oral health. The following results were obtained through intraoral examination and questionnaire surveys done on one hundred and twenty two diabetic outpatients who visited endocrine department at Yeungnam University in Daegu and internal medicine department at Chungmu hospital in Cheonahn for 4 months from November, 2005 to February, 2006. DMF index according to the gender was significantly higher in females only in Filling index (p <0.05). Missing index increased as the age increased (p <0.001). Papillary bleeding index was significantly higher in females (p <0.05). Several indices which show oral status significantly higher as the duration of diabetes increased and as the blood sugar level before meal was higher (p <0.01, p <0.05). In a group that received oral hygiene education, several indices which show periodontal status were significantly lower than those in a group that didn't have it (p <0.001). According to the results, not only diabetic control but also general oral care should be included in self-management education for diabetic patients and this should be accomplished by appropriate oral health education program and staffs.
Keywords
oral health; diabetic patients; education program;
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1 권영혁: 당뇨병과 치주질환. 경희의학 14(3):237-244, 1998
2 홍석진, 이상대, 배정식: 잇솔질교육, 스켈링에 의한 치면세균막 및 치은출혈 감소효과. 대한구강보건학회지 18(2): 434-440, 1994
3 Sznajder N, Carraro JJ, Sereday M: Periodontal finding in diabetic and nondiabetic patients. J Periodontol 49:445-448, 1978   DOI   PUBMED
4 Tenovuo J, Alanene P, Larjava H, Vikari J, Lehtonen O-P: Oral health of patients with insulin dependent diabets mellitus. Scand J De Res 94(4): 338-346, 1986
5 대한당뇨병학회: 당뇨병학. 1995, p 221-31
6 보건복지부: 2001년도 국민건강 영양조사-총괄보고서-2002
7 Safkan-seppala B, Ainamo J: Periodontal conditions in insulin-dependent diabetes mellitus. J Clin Periodontal 19:24-29, 1992   DOI   ScienceOn
8 Kjellman O: Oral condition in 105 subjects with insulin treated diabetes mellitus
9 Swed Dent J 63(2) : 99-110, 1970
10 보건복지부: 국민구강건강실태조사. 2000, p43-47
11 Tervonen I, Knuuttila M: Relation of diabetes control to periodontal pocketing and alveolar bone level. Oral Surg Oral Med 61: 346-349, 1986   DOI   ScienceOn
12 Barnett ML, Baker RL, Yancey JM, Macmillan DR, Kotoyan M: Absence of periodontitis in a population of insulin-dependent diabetes mellitus (IDDM) patients. J Periodontol 55(7) : 402, 1984
13 Cohen DW, Friedman L, Shapiro J, Kyle GC: Diabetes mellitus and periodontal disease, Two year longitudinal observation. Part I. J Periodontol 41(12): 709-712, 1970   DOI   PUBMED
14 Mandel ID: Relation of saliva and plaque to caries. J of Dent Res 53(2): 246-266, 1974   DOI   ScienceOn
15 Marder MZ, Abelson, DC, Mandel, ID: Salivary alterations in diabetes mellitus. J Periodontol 46(9) : 567-569, 1975   DOI   PUBMED
16 이영순: 인슐린 의존형 당뇨병 환자의 구강상태에 관한 연구. 석사학위 논문, 연세대학교 대학원, 1992
17 Cianciola LJ, Park BH, Bruck E, Mosovisch L, Genco RJ: Prevalence of periodontal disease in insulin dependent diabetes mellitus. JADA 104(5): 653-60, 1982
18 Murrah VA: Diabetes mellitus and associated oral manifestations. J Oral Pathol 14(4) : 271-281, 1985   DOI
19 Darnell J, Saunders M: Oral manifestations of the diabetic patient. Tex Dent J 107(2): 23-27, 1990   PUBMED
20 Nichols C, Laster LL, Bodak-Gyovai LZ: Diabetes mellitus and periodontal disease. Periodontol 49: 85-88, 1978   DOI
21 Husband A: Application of king theory of nursing to the care of the adult with diabetes. J Advanced Nursing 13(4): 484-488, 1988   DOI
22 Boorujy SR, Ship II: An epidemiologic and clinical study of the prevalence of periodontal disease in diabetics. Abstract J Dent Res 58, 1975
23 Ervasti T, Knuuttila M, Pobjamo L, Haukipuro K: Relation between control of diabetes and gingival bleeding. J Periodontol 56(3): 154-157, 1985   DOI   PUBMED
24 Hove KA, Stallard RE: Diabetes and the periodontal patient. J Periodontol 41: 713-718, 1970   DOI   PUBMED
25 American Diabetes Association: Standards of medical care in diabetes-2006. Diabetes Care 29:S4-S42, 2006
26 Campbell MJA: Epidemiology of periodontal disease in the diabetic and nondiabetic. Aust Dent J 17; 274, 1972
27 Glavind L, Lund B, Loe H: The relationship Between periodontal state and diabetes duration insulin dosage and retinal changes. J Periodontol 39: 341-347, 1968   DOI   PUBMED
28 Matsuoka K: Education for diabetes in Japan. 당뇨병학 14(2): 246-247, 1990