scholarly journals Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

2019 ◽  
Author(s):  
Kamini Kaura Parbhakar ◽  
Laura C. Rosella ◽  
Sonica Singhal ◽  
Carlos R. Quiñonez

AbstractBackgroundPeriodontitis has persistently been associated with diabetes and poor health outcomes. While clear associations have been identified for the diabetes–oral health link, less is known about the implications of poor oral health on incident complications of diabetes. This study sought to investigate the risk of diabetes complications associated with self-reported “poor to fair” and “good to excellent” oral health status among diabetics living in Ontario, Canada.MethodsThis cohort study was undertaken of diabetics from the Canadian Community Health Survey (2003 and 2007-8). Self-reported oral health was linked to electronic health records at the Institute for Clinical Evaluative Sciences. Participants under the age of 40, missing self-reported oral health and those who could not be identified in linked databases were excluded (N=5,183). A series of Cox Proportional hazard models were constructed to determine the risk of diabetes complications. Participants who did not experience any diabetes complication were censored at time of death or at the study termination date (March 31, 2016). Models were adjusted for age and sex, followed by social characteristics and behavioural factors.ResultsDiabetes complications differed by self-reported oral health. For those reporting “poor to fair” oral health, the hazard of a diabetes complication was 30% greater (HR 1.29 95%CI 1.03, 1.61) than those reporting “good to excellent” oral health.ConclusionsOur findings indicate that oral health status is associated with increased risk for complications among diabetics, after adjusting for a wide range of confounders. Examining oral health and the risk for diabetes complications from a broader perspective including socio-behavioural and biological pathways is principal for informing policies and interventions that aim to mitigate the burdens of poor systemic health.

Author(s):  
Khaled Hassan

Background: Although oral health is linked to diabetes, the likelihood of developing acute or chronic diabetic issues as a result of this link remains unknown in Ontario, Canada's most populous province. The impact of self-reported dental health on the chance of developing acute and chronic problems in a group of previously diagnosed diabetics is investigated in this study.  Methodology:  Diabetics (n = 5183) who took part in the Canadian Community Health Survey in 2003 and 2007–08 were studied retrospectively. Until March 31, 2016, self-reported oral health status was connected to health interactions in electronic medical records. After self-reporting oral health status, multinomial regression models were used to assess the likelihood of the first acute or chronic problem. Keywords:  Population health, Acute, Oral health, diabetes complications, periodontal disease, Chronic.


2018 ◽  
Vol 29 (1) ◽  
pp. 79-85 ◽  
Author(s):  
Heba Imam Morgan ◽  
Reham Khaled Abou El Fadl ◽  
Noha Samir Kabil ◽  
Iman Elagouza

2021 ◽  
Vol 10 (33) ◽  
pp. 2795-2798
Author(s):  
Thara Chandran ◽  
Nagashree Savanur Ravindranath ◽  
Rekha Raju ◽  
Soumi Samuel ◽  
Jesline Merly James ◽  
...  

BACKGROUND Self-concept is a fundamental domain of a person’s psychological function. Relation with family members and peers may influence self-concept which poses children in orphanages at risk. In order to implement and evaluate oral health interventions, we need to consider the functional and psychosocial dimensions of oral health. The purpose of this study was to assess the association between self-concept and oral health status among 12 - 17 year olds residing in orphanages in Bengaluru. METHODS The study was carried out among children living in orphanages. A cluster sampling method was used to select 269 participants from 9 orphanages in Bengaluru. The self-concept of the study participants was assessed using R. K. Saraswat’s selfconcept questionnaire. Oral health status was recorded using world health organization (WHO) oral health assessment form 2013. RESULTS Majority of the children in orphanages had an above average (45 %) and average selfconcept (39 %). Dental caries was present in 91.1 %, missing teeth in 19.7 %, filled teeth in 20.4 %, dental trauma in 17.9, gingival bleeding in 14.5 %, erosion in 5.9 % and oral mucosal lesions in 10.03 % of study participants. CONCLUSIONS Orphan children have an above average self-concept but are at an increased risk for oral diseases. KEY WORDS Self-Concept, Dental Caries, Gingivitis, Trauma, Orphanage


2019 ◽  
Vol 38 (6) ◽  
pp. 2677-2683 ◽  
Author(s):  
Ai Shiraishi ◽  
Yoshihiro Yoshimura ◽  
Hidetaka Wakabayashi ◽  
Yuri Tsuji ◽  
Sayuri Shimazu ◽  
...  

2019 ◽  
Author(s):  
Swapnil Bumb ◽  
Charu Chitra Govindan ◽  
Safalya Kadtane ◽  
Rukmini JN ◽  
Roshani Chawla ◽  
...  

BACKGROUND Till date no longitudinal prospective study have investigated the association between the oral health status and cognitive decline in the geriatric Indian population, possibly due to past studies differing in target groups and methodologies. We aimed to investigate the association between tooth loss, as evaluated through clinical oral examinations, and the development of cognitive decline in the older adults while considering baseline cognitive function. OBJECTIVE to investigate the association between tooth loss, as evaluated through clinical oral examinations, and the development of cognitive decline in the older adults while considering baseline cognitive function. METHODS This 5-year prospective cohort study followed 140 participants (mean age: 72.5 ± 4.3 years) without cognitive impairment aged ≥65 years (mean age: 70.9 ± 4.3 years) living in the Dhule Region of Maharashtra , India. Cognitive function was evaluated with the Mini-Mental State Examination (MMSE) in baseline and follow-up surveys,while oral health examination was carried out using Oral Hygiene Index To investigate the association between oral health status and cognitive decline, we applied a multiple logistic regression analysis adjusted for age, gender, hypertension, diabetes, cerebrovascular/cardiovascular disease, hypercholesterolemia, depressive symptoms, body mass index, smoking status, drinking status, duration of education, and baseline MMSE score. RESULTS In the 5 years after the baseline survey, we have obtained an overall incidence of 20.71%. population who developed cognitive decline (i.e., MMSE scores of ≤24). Multivariable logistic regression analysis indicated that participants with compromised oral health were more likely to develop cognitive decline than those with mild to moderate oral health were (odds ratio: 3.31; 95% confidence interval: 1.07–10.2). Age, male gender, and baseline MMSE scores were also significantly associated with cognitive decline. CONCLUSIONS Poor Oral health status was independently associated with the development of cognitive decline within 5 years among the geriatric population of India . This finding corroborates the hypothesis that oral health may be a predictor or risk factor for cognitive decline. CLINICALTRIAL Not applied


2021 ◽  
Vol 24 (4) ◽  
pp. 273-279
Author(s):  
Saba Ghazimoghadam ◽  
Alireza Salehi ◽  
Hossein Molavi Vardanjani ◽  
Fereshte Shafiei ◽  
Peyman Arasteh ◽  
...  

2009 ◽  
Vol 10 (2) ◽  
pp. 34-41 ◽  
Author(s):  
Alexandrina L. Dumitrescu ◽  
Makoto Kawamura

Abstract Aim The purpose of this study was to examine the impact of psychological states, self-rated oral health, and oral health behavior on hopelessness. Methods and Materials A cross-sectional study design was used. Data were collected between September and November 2006. The sample consisted of 233 Romanian adults (mean age 47.3 years; 65.6% women; 65.8% married). The questionnaire included information about demographic, psychological, self-reported oral health, and oral health related behavior items. Results ‘Hopeless’ participants were more likely to self-evaluate their dental health as poor/very poor (P<0.001), to be less satisfied by the appearance of their teeth (P<0.05), to report more non-treated caries (P<0.01), to brush their teeth less than twice per day (P<0.01), and never use mouthrinse (P<0.05). Logistic regression analysis showed ‘hopeless’ participants were apt to have a lower educational level, brush less frequently, have higher financial problems as the reason for not visiting the dentist, and report higher anxiety (odds ratio = 5.4, 4.2, 2.6, and 12.6, respectively). Forty-seven (73.4%) of 64 ‘hopeless’ participants and 90 (80.4%) of 112 ‘non-hopeless’ participants were correctly predicted by the above four variables. Conclusion The results of this study found impaired oral health and financial problems may pose an increased risk for hopelessness. Clinical Significance Poor oral health can be regarded as a risk marker for the level of hopelessness. Citation Dumitrescu AL, Kawamura M. Exploring the Relationships between Sense of Hopelessness, Worry, Self-rated Oral Health Status, and Behavior in a Romanian Adult Population. J Contemp Dent Pract 2009 March; (10)2:034-041.


2015 ◽  
Vol 68 (11-12) ◽  
pp. 387-393 ◽  
Author(s):  
Marija Jevtic ◽  
Jelena Pantelinac ◽  
Tatjana Jovanovic-Ilic ◽  
Vasa Petrovic ◽  
Olja Grgic ◽  
...  

Introduction. Pregnancy may pose an increased risk for the development of caries and other oral health problems. Continuous screening of oral health status, implementing appropriate preventive measures (particularly oral hygiene, healthy diet plans and education) is of paramount importance not only for oral health but also for the general health status of the future mother and her offspring. Effects of Food on Caries Development. Caries prevention through healthy diet implicates the reduction in frequency and amount of intake of cariogenic food, above all of refined carbohydrates, i.e. sugars and sweets. Foods known to have caries-prophylactic effects should predominate in healthy diet plans. They mainly include solid foods, which have mechanical effects on teeth cleaning, as well as foods providing sufficient amounts of vitamins (A, C, D) and a variety of elements and compounds (calcium, phosphates, fluorides) favoring the preservation and remineralization of tooth structures. Education of Pregnant Women on Healthy Deit. In accomplishing these goals, education and direct positive communication between the educator and the pregnant woman play a crucial role. Educative approach is always individual and determined by the patient?s specific cultural and socioeconomic features and status, as well as her habits, motivation and willingness to accept relevant recommendations. Accomplishing the aforementioned goals requires the appropriate organization and professional competence within the preventive dental service and its close cooperation with the relevant medical institutions and social support in the framework of public health protection. Conclusion. Preserving of oral health during pregnancy is predominantly influenced by the following factors: 1) healthy diet, 2) oral hygiene, 3) patients? education, 4) regular control of oral health, 5) appropriate organization of dental services and 6) community engagement.


Sign in / Sign up

Export Citation Format

Share Document