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Oral health in the elderly with non‐insulin‐dependent diabetes mellitus

Identifieur interne : 008437 ( Main/Exploration ); précédent : 008436; suivant : 008438

Oral 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]

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RBID : ISTEX:9E3157E979A7F830FC3CD78D1EF9E729F36EB820

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English descriptors

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


Affiliations:


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<term>Cardiovascular disease</term>
<term>Caries</term>
<term>Carious lesions</term>
<term>Cause xerostomia</term>
<term>Clinical examination</term>
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<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>
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<term>Older adults</term>
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<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>
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<term>Spec cure dentist</term>
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<term>Control group</term>
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<term>Elderly adults</term>
<term>Gingival inflammation</term>
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<term>Present study</term>
<term>Restorative treatment</term>
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<term>Severe dementia</term>
<term>Significant differences</term>
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<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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