Oral health in the elderly with non‐insulin‐dependent diabetes mellitus
Identifieur interne : 008437 ( Main/Curation ); précédent : 008436; suivant : 008438Oral health in the elderly with non‐insulin‐dependent diabetes mellitus
Auteurs : Marzenna B. Zielinski ; Denise Fedele [États-Unis] ; Lloyd J. Forman [États-Unis] ; Sherry C. Pomerantz [États-Unis]Source :
- Special Care in Dentistry [ 0275-1879 ] ; 2002-05.
Descripteurs français
- Wicri :
- topic : Maladie cardio-vasculaire, Diabète, Glucose.
English descriptors
- KwdEn :
- Antibiotic prophylaxis, Average hbalc value, Beta cells, Buccal surfaces, Cardiovascular disease, Caries, Carious lesions, Cause xerostomia, Clinical examination, Community dent, Control group, Control groups, Control population, Control subjects, Coronary artery disease, Decayed teeth, Demographic characteristics, Dental caries, Dental examination, Diabetes, Diabetes care, Diabetes mellitus, Elderly adults, Gingival inflammation, Glucose, Glycemic control, Hbalc, Important risk factor, Lingual surfaces, Medical records, Mellitus, More pockets, More teeth, Mucosal pathology, Niddm, Older adults, Oral cavity, Oral health, Oral hygiene, Oral manifestations, Oral mucosa, Oral pathol, Oral surg, Osteopathic medicine, Periodontal, Periodontal disease, Periodontal probe, Periodontal status, Periodontitis, Pima indians, Plasma glucose levels, Pocket depth, Present study, Restorative treatment, Risk factor, Secrete insulin, Severe dementia, Significant differences, Smoking history, Spec care dentist, Spec cure dentist, Study group, Study group members, Third molars.
- Teeft :
- Antibiotic prophylaxis, Average hbalc value, Beta cells, Buccal surfaces, Cardiovascular disease, Caries, Carious lesions, Cause xerostomia, Clinical examination, Community dent, Control group, Control groups, Control population, Control subjects, Coronary artery disease, Decayed teeth, Demographic characteristics, Dental caries, Dental examination, Diabetes, Diabetes care, Diabetes mellitus, Elderly adults, Gingival inflammation, Glucose, Glycemic control, Hbalc, Important risk factor, Lingual surfaces, Medical records, Mellitus, More pockets, More teeth, Mucosal pathology, Niddm, Older adults, Oral cavity, Oral health, Oral hygiene, Oral manifestations, Oral mucosa, Oral pathol, Oral surg, Osteopathic medicine, Periodontal, Periodontal disease, Periodontal probe, Periodontal status, Periodontitis, Pima indians, Plasma glucose levels, Pocket depth, Present study, Restorative treatment, Risk factor, Secrete insulin, Severe dementia, Significant differences, Smoking history, Spec care dentist, Spec cure dentist, Study group, Study group members, Third molars.
Abstract
Non‐insulin‐dependent diabetes mellitus (NIDDM) is a common endocrine disease affecting the elderly in particular. Long‐term complications involve the vasculature; vision, renal, and neural function; and the periodontium. Knowledge about the oral health of the elderly and the effects of NIDDM is limited. The objective of this study was to compare the oral health of patients aged 60+ years, who have NIDDM, with patients who do not have NIDDM. To evaluate oral health, we recorded retention and condition of the teeth, periodontal health, and condition of the oral mucosa. We also assessed oral hygiene, smoking history, regularity of dental checkups, and medication use. The study group was selected from among patients who came to the ambulatory care clinic at University of Medicine and Dentistry, New Jersey, Center for Aging with a diagnosis of NIDDM. The control group, which did not have NIDDM, was selected from among the same patient group and was matched for age and gender. Patients with severe dementia, those having fewer than 10 teeth or those who were in need of antibiotic prophylaxis were excluded from the study. Patients underwent a short interview and a clinical evaluation. Our study involved 32 elderly adults with NIDDM and 40 elderly adults who did not have NIDDM. Both groups had similar oral hygiene levels and regularity of professional dental care. In addition, the plasma glucose levels among the study group were well controlled. This study did not show statistically significant differences in oral health parameters between participants with diabetes and those in a control group.
Url:
DOI: 10.1111/j.1754-4505.2002.tb01169.x
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Marzenna B. Zielinski<affiliation><wicri:noCountry code="no comma">E-mail: marzenna_zielinski@hotmail.com</wicri:noCountry>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibiotic prophylaxis</term>
<term>Average hbalc value</term>
<term>Beta cells</term>
<term>Buccal surfaces</term>
<term>Cardiovascular disease</term>
<term>Caries</term>
<term>Carious lesions</term>
<term>Cause xerostomia</term>
<term>Clinical examination</term>
<term>Community dent</term>
<term>Control group</term>
<term>Control groups</term>
<term>Control population</term>
<term>Control subjects</term>
<term>Coronary artery disease</term>
<term>Decayed teeth</term>
<term>Demographic characteristics</term>
<term>Dental caries</term>
<term>Dental examination</term>
<term>Diabetes</term>
<term>Diabetes care</term>
<term>Diabetes mellitus</term>
<term>Elderly adults</term>
<term>Gingival inflammation</term>
<term>Glucose</term>
<term>Glycemic control</term>
<term>Hbalc</term>
<term>Important risk factor</term>
<term>Lingual surfaces</term>
<term>Medical records</term>
<term>Mellitus</term>
<term>More pockets</term>
<term>More teeth</term>
<term>Mucosal pathology</term>
<term>Niddm</term>
<term>Older adults</term>
<term>Oral cavity</term>
<term>Oral health</term>
<term>Oral hygiene</term>
<term>Oral manifestations</term>
<term>Oral mucosa</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Osteopathic medicine</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal probe</term>
<term>Periodontal status</term>
<term>Periodontitis</term>
<term>Pima indians</term>
<term>Plasma glucose levels</term>
<term>Pocket depth</term>
<term>Present study</term>
<term>Restorative treatment</term>
<term>Risk factor</term>
<term>Secrete insulin</term>
<term>Severe dementia</term>
<term>Significant differences</term>
<term>Smoking history</term>
<term>Spec care dentist</term>
<term>Spec cure dentist</term>
<term>Study group</term>
<term>Study group members</term>
<term>Third molars</term>
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<term>Average hbalc value</term>
<term>Beta cells</term>
<term>Buccal surfaces</term>
<term>Cardiovascular disease</term>
<term>Caries</term>
<term>Carious lesions</term>
<term>Cause xerostomia</term>
<term>Clinical examination</term>
<term>Community dent</term>
<term>Control group</term>
<term>Control groups</term>
<term>Control population</term>
<term>Control subjects</term>
<term>Coronary artery disease</term>
<term>Decayed teeth</term>
<term>Demographic characteristics</term>
<term>Dental caries</term>
<term>Dental examination</term>
<term>Diabetes</term>
<term>Diabetes care</term>
<term>Diabetes mellitus</term>
<term>Elderly adults</term>
<term>Gingival inflammation</term>
<term>Glucose</term>
<term>Glycemic control</term>
<term>Hbalc</term>
<term>Important risk factor</term>
<term>Lingual surfaces</term>
<term>Medical records</term>
<term>Mellitus</term>
<term>More pockets</term>
<term>More teeth</term>
<term>Mucosal pathology</term>
<term>Niddm</term>
<term>Older adults</term>
<term>Oral cavity</term>
<term>Oral health</term>
<term>Oral hygiene</term>
<term>Oral manifestations</term>
<term>Oral mucosa</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Osteopathic medicine</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal probe</term>
<term>Periodontal status</term>
<term>Periodontitis</term>
<term>Pima indians</term>
<term>Plasma glucose levels</term>
<term>Pocket depth</term>
<term>Present study</term>
<term>Restorative treatment</term>
<term>Risk factor</term>
<term>Secrete insulin</term>
<term>Severe dementia</term>
<term>Significant differences</term>
<term>Smoking history</term>
<term>Spec care dentist</term>
<term>Spec cure dentist</term>
<term>Study group</term>
<term>Study group members</term>
<term>Third molars</term>
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<front><div type="abstract" xml:lang="en">Non‐insulin‐dependent diabetes mellitus (NIDDM) is a common endocrine disease affecting the elderly in particular. Long‐term complications involve the vasculature; vision, renal, and neural function; and the periodontium. Knowledge about the oral health of the elderly and the effects of NIDDM is limited. The objective of this study was to compare the oral health of patients aged 60+ years, who have NIDDM, with patients who do not have NIDDM. To evaluate oral health, we recorded retention and condition of the teeth, periodontal health, and condition of the oral mucosa. We also assessed oral hygiene, smoking history, regularity of dental checkups, and medication use. The study group was selected from among patients who came to the ambulatory care clinic at University of Medicine and Dentistry, New Jersey, Center for Aging with a diagnosis of NIDDM. The control group, which did not have NIDDM, was selected from among the same patient group and was matched for age and gender. Patients with severe dementia, those having fewer than 10 teeth or those who were in need of antibiotic prophylaxis were excluded from the study. Patients underwent a short interview and a clinical evaluation. Our study involved 32 elderly adults with NIDDM and 40 elderly adults who did not have NIDDM. Both groups had similar oral hygiene levels and regularity of professional dental care. In addition, the plasma glucose levels among the study group were well controlled. This study did not show statistically significant differences in oral health parameters between participants with diabetes and those in a control group.</div>
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