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Relationship between the Self-Reported Oral Health Status and Hemoglobin A1c Level among Diabetic Patients  

Choi, Jun-Seon (Department of Dental Hygiene, Gachon University of Medicine and Science)
Publication Information
Korean Journal of Health Education and Promotion / v.25, no.1, 2008 , pp. 55-69 More about this Journal
Abstract
Objective: This study was to investigate the relationship between hemoglobin A1c level and self-reported oral health status. Methods: The subjects of this study were 150 diabetic patients (60 male patients and 90 female patients) who went to the internal and family medicine departments of clinic. This study used the questionnaire and NYCOCARD$\square$ READERII to quantify hemoglobin A1c. Results: The proportion of well controlled diabetes subjects was 31.3%. When hemoglobin A1c levels became higher, subjects perceived that there were more decay teeth, bleeding, swollen gums, mobility teeth, and oral disease symptoms. In comparison with the well glycemic control group, poor glycemic control group perceived that the overall oral health status was worse, and had more bleeding teeth, swollen gums and mobility teeth. Conclusion: These results show that hemoglobin A1c level is related to the self-reported oral health status. Therefore, dental professionals should emphasize more the necessity of maintaining the hemoglobin A1c of normal range and monitoring it periodically, and the practice of thorough oral hygiene care in order to promote diabetic patients' oral health.
Keywords
Diabetes mellitus; Hemoglobin A1c; Periodontitis;
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