关键词: blood glucose level diabetic mellitus generalised periodontitis oral health oral manifestation

来  源:   DOI:10.7759/cureus.58227   PDF(Pubmed)

Abstract:
Introduction Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The study aimed to evaluate the effectiveness of oral health education and intervention in improving oral health outcomes in type 2 DM (T2DM) patients. Methods The present study was conducted in the Department of Oral Medicine and Radiology between February 2023 and August 2023 at Saveetha Dental College and Hospitals in Chennai, India. All of the patients in the study had T2DM with oral manifestations. This study enrolled 105 participants, of whom 63 were female and 42 were male. A standard pro forma was given to all the participants, and the findings were recorded. The pro forma comprises different oral manifestations, blood glucose levels, the Decayed, Missing, and Filled Teeth (DMFT) index, and Russell\'s periodontal index. The results were then statistically analyzed. Results This study of 105 individuals with T2DM (60% females and 40% males) revealed significant oral health challenges: 33% had periodontitis, 20% had gingivitis, 5% had lichenoid reactions, 23% had xerostomia, 11% had halitosis, and 8% had candidiasis, illustrating diabetes\' impact on dental health. Following appropriate, tailor-made treatment for individual patients, such as scaling, root planning, oral hygiene education, pharmacotherapy, and post-intervention, the prevalence of complications notably decreased by 61%. A total of 7% of patients had gingivitis, 11% had periodontitis, 12% had xerostomia, 4% had halitosis, 2% had candidiasis, and 1% had lichenoid reactions, respectively. This highlights the importance of regular oral care positively impacting diabetes patients, with 61% experiencing improved oral health and 39% experiencing no improvement. Conclusion This study provides compelling evidence for the effectiveness of oral health education and interventions in improving oral health outcomes in T2DM patients. This approach offers a promising strategy for managing the oral health complications associated with diabetes and improving this population\'s overall health and well-being.
摘要:
糖尿病(DM)是一组以胰岛素分泌缺陷导致的高血糖为特征的代谢性疾病。胰岛素作用,或者两者兼而有之。该研究旨在评估口腔健康教育和干预在改善2型糖尿病(T2DM)患者口腔健康结局中的有效性。方法本研究于2023年2月至2023年8月在钦奈的Saveetha牙科学院和医院的口腔医学和放射科进行,印度。研究中的所有患者均患有2型糖尿病并伴有口腔表现。这项研究招募了105名参与者,其中女性63人,男性42人。向所有参与者提供了标准的形式,并记录了调查结果。形式包括不同的口腔表现,血糖水平,腐烂的,失踪,和填充牙齿(DMFT)指数,和Russell的牙周指数.然后对结果进行统计分析。结果这项对105名T2DM患者(60%的女性和40%的男性)的研究揭示了显着的口腔健康挑战:33%患有牙周炎,20%有牙龈炎,5%有苔藓样反应,23%有口干症,11%有口臭,8%有念珠菌病,说明糖尿病对牙齿健康的影响。在适当的情况下,为个别患者量身定制的治疗方法,例如缩放,根规划,口腔卫生教育,药物治疗,和干预后,并发症的发生率显著下降了61%。共有7%的患者有牙龈炎,11%有牙周炎,12%有口干症,4%有口臭,2%有念珠菌病,1%有苔藓样反应,分别。这突出了定期口腔护理对糖尿病患者产生积极影响的重要性。61%的人口腔健康得到改善,39%的人没有改善。结论本研究为口腔健康教育和干预措施在改善T2DM患者口腔健康结局方面的有效性提供了有力的证据。这种方法为管理与糖尿病相关的口腔健康并发症和改善该人群的整体健康和福祉提供了一个有前途的策略。
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