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Oral care status and its related factor in diabetic patients  

Na, Hee-Ja (Dept. of Dental Hygiene, Koguryeo College)
Jung, Ui-Jung (Dept. of Dental Hygiene, Hyejeon College)
Publication Information
Journal of Korean society of Dental Hygiene / v.11, no.1, 2011 , pp. 81-94 More about this Journal
Abstract
Objectives : This study conducted to investigate oral care abilities in diabetic patients to find a good dental method which may efficiently control diabetes. Methods : The diabetic group consisted of 40 patients with type 2 diabetics, while the non-diabetes were 34 persons with no signs of diabetics, who had visited a Public Health Center and dental clinic of a general hospital in Gwangju city from Dec. 2008 to Sep. 2009. Periodontal disease, gingivitis, dental caries, tongue plaque and halitosis between diabetic group and non-diabetic group were examined and at the same time a questionnaire survey was conducted. The data were analyzed with chi-square, t-test, pearson correlation coefficients using the SPSS WIN 15.0 program. Results : The mean values of both the community periodontal index and the gingival index of diabetic group were 2.18 and 1.75, respectively, and those were higher than those (1.79 and 1.50) of non-diabetic group with no statistical significance. The mean saliva secretion of non-diabetics was 16.74 mL, which was higher than 13.90 mL of diabetic patients(p<0.05). The oral care ability(mean 3.10) acquired from plague index in diabetic group was worse than in non-diabetic(mean 2.33). Conclusions : The high blood sugar concentration in diabetic patients causes low saliva secretion and high saliva viscosity, with the results halitosis and periodontal disease take place. This study suggested that good oral care ability of diabetic patients was very helpful to prevent periodontal disease and halitosis. In addition to this, it may reduce complications of diabetic patients.
Keywords
dental caries; diabetes; halitosis; oral care ability; periodontal disease;
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1 Swedberg Y, Noren JG. Analysis of caries status development in relation to socioeconomic variables using a case-based system. Swed Dent 2001;25:81-88.
2 건강보험심사평가원. 2008년 진료비 통계지표. 2008.
3 Muacevic-Katanec D, Katanec D, Metelko Z, Juric H. Most common dental and oral diseases in diabetic patients. Diabetologia Croatica 1998;27:1-10.
4 최상희. 당뇨 환자에서 지속적인 구강건강관리의 효과 [석사학위논문]. 경산: 영남대학교 대학원; 2007.
5 Shibasaki T. 당뇨병과 치과질환의 관계에 대해서. The Quintessence(한국판) 2000; 5:79.
6 Christgau M, Pallitzsch KD, Schmalz G, Kreiner U, Frenzel S. Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological, and immunologic results. J Clin Periodontol 1998;25:112-124.   DOI   ScienceOn
7 Bollen CM, Rompen EH, Demanez JP. Halitosis: a multidisciplinary problem. Rev Med Liege 1999;54:32-36.
8 Ratcliff R. Current Concepts in the Causes and Treatment of Halitosis. Practical Hygiene 1997;47-50.
9 The British Dental Association. Fact file on Bad Breath. 1996;July.
10 Tonzetish J. Production and origin of oral malodor, a review of mechanical and methods of analysis. J Periodontol 1977;48:13-20.   DOI
11 Berg M, Fosdick LS. Studies in periodontal disease. II. Putrefactiveorganisms in the mouth. J Dent Res 1946;25:73-81.   DOI
12 Howe JW. The breath and the diseases which give it a fetid odor. 4th Ed. NewYork: D. Appleton and Co; 1898.
13 McNamara TF, Alexander JF, Lee M. The role of microorganisms in the production of oral malodor. Oral Surg 1972;34:41-48.   DOI   ScienceOn
14 Wale SM. On the transformation of sulfurcontaining amino acids and peptides to volatile sulfur compounds (VSC) in the human mouth. Eur J Oral Sci 1997;Oct(5pt2):534-537.
15 Oliver RC, Tervonen T. Periodontitis and tooth loss: comparing diabetics with the general population. JADA 1993:124:71.
16 장기완, 김진범. 구강건강 조사서. 서울: 고문사; 2000:45-65.
17 국민 구강건강 실태 조사. 2006:26-29.
18 임선아. 지역 사회 구강보건 정책제안을 위한 광주 전남 구강보건 실태조사결과 [석사학위논문]. 광주: 조선대학교 대학원; 2000.
19 Ervasti T, Knuuttila M, Pobjamo L, Haukipuro K. Relation between control of diabetes and gingival bleeding. J Periodontol 1985;56:154-157.   DOI
20 McNamara TF, Alexander JF, Lee M. The role of microorganism in the production of oral maloder. Oral Surg Oral Med Pathol 1972;34:41-48.   DOI   ScienceOn
21 Tonzetish J. Production and origin of oral malodor: a review of mechanism and methods of analysis. J Periodontol 1977;48:13-20.   DOI
22 Yaegaki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease. J Periodont Res 1992;27:233-238.   DOI
23 Persson S, Edlund MB, Claesson R, Carlsson J. The formation of hydrogen Sulfide and methylmercaptan by oral bacteria. Oral Microbiol Immunol 1990;5:195-201.   DOI   ScienceOn
24 Rosenberg M. Bad breath: diagnosis and treatment. U Toronto Dent J 1990;3:7-11.
25 Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:531-533.
26 De Boever EH, Loesche WJ. Assessing the contribution of anaerobic microflora of the tongue to oral malodor. J Am Dent Assoc 1995;126(10):1384-1393.
27 Rosenberg M, Kulkarni KV. Bosy A and McCulloch CAG. Reproducibility and sensitivity of oral malodor measurements with a portable sulfide monitor. J Dent Res 1991;70:1436-1440.   DOI   ScienceOn
28 김종배, 백대일, 문혁수 외 11인. 임상예방치과학. 제3판. 서울: 고문사; 2000:31-39.