METHODS: Analysing data from the National Health and Nutrition Examination Survey (NHANES) 2015 to 2018, we included 7490 participants aged 30 and above. We investigated the association between self-reported diabetes, glycaemic control, and untreated root caries, adjusting for demographic and health-related variables. Weighted logistic regression models estimated untreated root caries odds by diabetes status and HbA1c cutoffs (6.5-9%), adjusting for demographics, health behaviours, BMI, diet, oral health factors.
RESULTS: A significant association was found between higher HbA1c levels and an increased risk of untreated root caries (odds ratio [OR]: 1.11, 95% CI: 1.01-1.22, p < .05). Self-reported diabetes was not significantly linked to untreated root caries after adjusting for HbA1c and other factors. Glycaemic control thresholds (HbA1c ≥8%) among diabetic participants were associated with higher odds of untreated root caries.
CONCLUSIONS: Poorly controlled diabetes appears to be associated with untreated root caries among U.S. adults. This highlights the greater impact of glycaemic control versus self-reported diabetes on dental health and the need for regular oral screenings for patients with poor glycaemic control.
方法:分析2015年至2018年国家健康与营养调查(NHANES)的数据,我们包括7490名30岁及以上的参与者。我们调查了自我报告的糖尿病,血糖控制,和未经处理的根面龋齿,调整人口统计学和健康相关变量。加权逻辑回归模型通过糖尿病状态和HbA1c截止值(6.5-9%)估计未经治疗的根龋几率,适应人口统计,健康行为,BMI,饮食,口腔健康因素。
结果:发现较高的HbA1c水平与未经处理的根龋风险增加之间存在显着关联(比值比[OR]:1.11,95%CI:1.01-1.22,p<.05)。在调整HbA1c和其他因素后,自我报告的糖尿病与未经治疗的根癌没有显着联系。糖尿病参与者的血糖控制阈值(HbA1c≥8%)与未经治疗的根面龋的几率较高相关。
结论:在美国成年人中,控制不佳的糖尿病似乎与未经治疗的根部龋齿有关。这突出了血糖控制与自我报告的糖尿病对牙齿健康的更大影响,并且需要对血糖控制不佳的患者进行定期口腔筛查。