The complex interrelationship between Diabetes Mellitus, oral diseases and general health.

: There is emerging evidence that several oral diseases and conditions can be associated with DM. Dental caries, hyposalivation, fungal diseases and endodontics lesions may represent potential oral complications that can be aggravated by chronic hyperglycemia. Individuals with DM have low perception of oral diseases which can lead to clinically important oral and systemic complications. This review aims to provide data on the most common oral signs and symptoms related to DM and to explore the mechanisms that might explain associations between DM and oral diseases in order to clarify the risks posed by poor oral health in DM. Since the linkage between oral diseases and DM is part of multifactorial aspects related to chronic hyperglycemic status and several common conditions affecting the whole body, both require rigorous self-control from patients and attention from medical and dental professionals.

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Prevalência da Cárie Dentária de Doentes Diabéticos Tipo 1 Tratados com Bomba Infusora de Insulina

Acta Médica Portuguesa ◽

10.20344/amp.6796 ◽

2016 ◽

Vol 29 (7-8) ◽

pp. 461

Author(s):

Rosana Garcia ◽

Ana Coelho ◽

Anabela Paula ◽

Manuel Marques Ferreira ◽

Francisco Caramelo ◽

...

Keyword(s):

Diabetes Mellitus ◽

Oral Health ◽

Dental Caries ◽

Insulin Pump ◽

Diabetic Patients ◽

Case Report Form ◽

Oral Diseases ◽

Cross Sectional ◽

Type 1 Diabetic Patients

Introduction: Type 1 diabetes mellitus and oral health are strictly related on a reciprocal basis, and an increased susceptibility to a wide variety of oral diseases is recognised in these patients. The aim of the present study was to establish a relationship between the prevalence of dental caries in Type 1 diabetic patients treated with insulin pump and that of non-diabetic patients.Material and Methods: An observational clinical study of analytical and cross-sectional nature was conducted. The sample consisted of 30 adults with diabetes mellitus treated with insulin pump (selected from the Coimbra Hospital and Universitary Centre) and 30 nondiabetic adults (selected from the ones accompanying the diabetic patients). One dentist evaluated all of the patients between January and May of 2015 in the Faculty of Medicine of the University of Coimbra. During the clinical evaluation a case report form adapted to the objectives of the investigation was completed. Data analysis was performed and the significance level was set at 5%.Results: Diabetic patients showed similar levels on the caries and plaque index to non-diabetic patients. There were no statistically significant differences between the two groups as regards oral hygiene habits and frequency of visits to the dentist.Discussão: Although diabetics’ diet is less abundant in carbohydrates, which provides a smaller exposure to cariogenic food, the regularity of meals can increase the risk of caries since the critical pH for demineralization is reached frequently throughout the day. However, the existence of a chronic condition may determine a high concern for general preventive care, resulting in an overall improvement of their oral health, which could justify the results.Conclusion: Type 1 diabetic patients treated with insulin pump don’t have a higher prevalence of dental caries.

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Oral Health Status in Relation to Nutritional Status among 9 years old school Children in Dewanyiah City/Iraq

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.763 ◽

2019 ◽

Vol 14 (1) ◽

pp. 80

Author(s):

Dr. Zahraa Ali Al-Awadi ◽

Dr. Baydaa Hussien Hussien

Keyword(s):

Oral Health ◽

Dental Caries ◽

Nutritional Status ◽

Oral Health Status ◽

Health Condition ◽

Primary Dentition ◽

Anthropometric Measurement ◽

Oral Diseases ◽

Gingival Health ◽

Significant Difference

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.

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A Critical Review on Madhumeha (Diabetes Mellitus) with its Preventive Approach

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i05.10259 ◽

2017 ◽

Vol 2 (05) ◽

Author(s):

Anagha Gosavi ◽

Ram V. Ramekar

Keyword(s):

Diabetes Mellitus ◽

Insulin Secretion ◽

Protein Metabolism ◽

Insulin Action ◽

Preventive Measures ◽

Sweet Taste ◽

Whole Body ◽

Appropriate Use ◽

Chronic Hyperglycemia ◽

Therapeutic Measures

Prameha is disease of Mutravaha Srotasa having Kapha dominancy which can be correlated with diabetes mellitus. The term diabetes mellitus describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both. Madhumeha is considered as a subtype under the Vatika type of Prameha and it is characterized by passage of urine with sweet taste like honey along with sweetness of whole body. With appropriate use of Ayurvedic preventive measures such as Dincharya, Ritucharya, Aharvidhi and therapeutic measures Madhumeha (DM) can be prevented.

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Oral health problems in high-performance athletes at 2019 Pan American Games in Lima: a descriptive study

BDJ Open ◽

10.1038/s41405-021-00078-1 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Catalina Opazo-García ◽

Jeel Moya-Salazar ◽

Karina Chicoma-Flores ◽

Hans Contreras-Pulache

Keyword(s):

Oral Health ◽

Dental Caries ◽

Dental Care ◽

Disease Surveillance ◽

High Performance ◽

Elite Athletes ◽

Periodontal Diseases ◽

Health Problems ◽

Oral Diseases ◽

Pan American

Abstract Introduction Dental care is provided for high-performance athletes at national and international sports events. Elite athletes may seek care for sports-related injuries and pre-existing oral diseases. Previous studies indicate an association between oral health problems and negative performance impacts in elite athletes. Objectives To determine the prevalence of the most common oral pathologies in high-performance athletes during the emergency dental care performed at the Lima 2019 Pan American Games (JPL-19). Methodology All reports of athletes (≥18 years old, of both sexes, from 41 countries) who received emergency dental care at Pan American Villas during the JPL-19 were included. Injuries and types of oral diseases were classified according to the Injury and Disease Surveillance System proposed by the International Olympic Committee. Results Of the 6680 participating athletes, 76 (1.14%) presented as dental emergencies, 90.8% (69/76) of the athletes seen presented pre-existing oral pathological conditions, the most frequent were periodontal diseases (34%, 26/76) and dental caries (29%, 22/76). Among the sports with the most cases, there were 22 (29%) in athletics, 6 (8%) in soccer, and 6 (8%) in taekwondo. The most frequent dental emergencies came from Peru, Puerto Rico, Bahamas, Grenada, and Venezuela. Conclusions Pre-existing oral diseases were more frequent than sports-related accidents. The most prevalent diseases were periodontal disease and dental caries disease. It is necessary to implement new care strategies for athletes, based on prevention, before and during sports competitions.

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Oral health status and treatment needs of school going children in a tribal area in Southern India

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.455 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Thomas ◽

R Chacko ◽

G D Khanapur ◽

D Kattula ◽

A Rose

Keyword(s):

Health Status ◽

Oral Health ◽

Dental Caries ◽

Dental Fluorosis ◽

Oral Health Status ◽

World Health ◽

Oral Diseases ◽

Treatment Needs ◽

Local Authorities ◽

Local Hospital

Abstract Background Children suffer a significant burden of oral diseases which impacts their quality of life, and general health. Many epidemiological studies have looked at oral health status and treatment needs among children in urban and rural areas across different age groups. There was limited literature assessing the oral health status among children in tribal areas, which presents unique challenges in terms of: topography, availability of health services, and complex socio-cultural health practices. Methods Cross-sectional study was conducted among 655 children across six schools between 12-15 years in Jawadhi Hills, Tamil Nadu, India. World Health Organization's, Oral Health Surveys were used for clinical and risk factor assessments. Clinical examination was conducted, and self-assessed questionnaire was administered to the children to assess the risk factors to poor oral health. Since dental fluorosis was common, drinking water samples were collected to assess fluoride levels in the community. Results Prevalence of dental caries and gingivitis (gum disease) was found to be 22.3% and 87.3% respectively. Dental Pain was reported by 57% of children as the most common reason to visit the dentist. Prevalence of dental fluorosis was found to be 53.6%. Multiple logistic regression showed: gender, dental fluorosis, diet, and maternal education significantly associated (p < 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (>1.5 ppm). Conclusions Children requiring treatment (∼ 200) were referred to the local hospital, and treatment was done free-of-cost. School authorities were informed about the current oral health status of children and advised to conduct regular health education & dental camps; the importance of girls' education was emphasized. Local authorities were alerted about the fluoride-rich water situation in the community and educated about defluoridation methods that the community can employ at household level. Key messages Evidence-based burden of oral diseases was presented to the local authorities for the first time, with a call for action. A referral system was established between the schools and the local hospital, to ensure continuity of oral health care for the children.

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Evaluation of Salivary Interleukin-1ß Levels and Oral Health in Pakistani Male Smokers

10.53350/pjmhs211561158 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1158-1163

Author(s):

S. A. Hamza ◽

S. Asif ◽

S. A. H. Bokhari

Keyword(s):

Oral Health ◽

Dental Caries ◽

Low Income ◽

Smoking Status ◽

Saliva Sample ◽

Oral Disease ◽

Oral Diseases ◽

Missing Teeth ◽

Significance Level ◽

Inflammatory Biomarker

Aim: Smoking induces changes in salivary inflammatory biomarker levels associated with oral diseases. This study status and explored association among salivary Interleukin-1β, oral diseases and smoking. Methods: Data of male smokers of a private institute recruited for a randomized clinical trial is analyzed for this paper. Demographic and systemic information were collected. Oral disease status was examined and saliva sample collected for IL-1β levels. IL-1β levels and other study variables were analyzed with respect to smoking status categorized into smoking years and cigarettes per day. The student's t-test and one-way ANOVA were used for statistical analysis using SPSS version 22) with significance level of p≤0.050. Results: Analysis of baseline data of seventy-eight smokers showed elevated levels of IL-1β with increasing smoking, higher BMI. Smoking was higher among aged, married and low-income individuals. Pearson partial correlation analysis, after controlling age, marital status, education, income, and BMI, demonstrated a positive significant relationship of smoking per day with smoking years; dental caries with missing teeth and calculus; gingivitis with missing teeth and calculus; periodontitis with dental caries, calculus and gingivitis. Conclusion: This analysis demonstrates that levels of IL-1β were raised in smokers, however; there was no association with oral disease parameters. Large studies may be conducted to observe status and association of smoking, oral disease and salivary biomarkers. Keywords: Smoking, Oral Health, IL-1β, Males

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Oral Health and Nutrition

10.2310/im.9038 ◽

2020 ◽

Author(s):

Carole. A. Palmer ◽

Zhangmuge Cheng

Keyword(s):

Oral Health ◽

Dental Caries ◽

Periodontal Diseases ◽

Oral Disease ◽

Oral Diseases ◽

Oral Infections ◽

Surgeon General ◽

Optimal Health ◽

Health And Disease ◽

Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

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Developing leadership in dentists and schoolteachers to improve oral health inequalities

Global Health Promotion ◽

10.1177/1757975920938763 ◽

2020 ◽

Vol 27 (4) ◽

pp. 154-156

Author(s):

Valerie Wordley ◽

Raman Bedi

Keyword(s):

Oral Health ◽

Leadership Skills ◽

Health Prevention ◽

Oral Diseases ◽

Oral Health Education ◽

Healthy Habits ◽

Prevention Messages ◽

The World ◽

Global Population ◽

Dental Professionals

With oral diseases affecting people of all ages in every country of the world, new approaches are necessary to remove inequalities in oral health and increase access to oral health education. With over 1 billion children attending school, developing dental leadership skills not only in dental professionals but also in schoolteachers will help to spread oral health prevention messages effectively, implement healthy habits at a young age and impact a greater proportion of the global population to improve their oral health.

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Nurses’ educational needs in the oral health of inpatients at Yazd Province in Iran: a Delphi study

BMC Nursing ◽

10.1186/s12912-020-00517-8 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Seyed Hosein Tabatabaei ◽

Fatemeh Owlia ◽

Fatemeh Ayatollahi ◽

Fahimeh Rashidi Maybodi ◽

Hakimeh Ahadian ◽

...

Keyword(s):

Oral Health ◽

Delphi Study ◽

Descriptive Analysis ◽

Oral Care ◽

Signs And Symptoms ◽

The Elderly ◽

Educational Needs ◽

Hospitalized Patients ◽

Oral Diseases ◽

School Of Dentistry

Abstract Background Oral hygiene is an integral part of general health of a person. Nurses qualified about oral care can play an important role in improving the quality of oral health in hospitalized patients. This study investigated the educational needs of nurses in the field of oral health of hospitalized patients. Methods The study used the modified Delphi method in three rounds. Fifty faculty members of the School of Dentistry and Nursing were selected via purposive sampling. The data collection tool was a demographic form and an open-ended questionnaire in the first round and a structured questionnaire in the next rounds. The analysis was performed using both content and descriptive analysis techniques. Results The top ten oral health education priorities for nurses were greater than 75% with a consensus level: oral anatomy and physiology, learning the signs and symptoms of common oral diseases, learning of oral medications and administration, learning the drugs that cause damage to the mouth and teeth, training in managing dental emergencies, patient education for tooth brushing and taking care of the mouth, especially in the elderly patient, providing oral and dental care, training for unconscious and fasting patients, undergoing chemotherapy and radiotherapy, and hospitalization in intensive care unit. Conclusion The findings of the study emphasized the need for interdisciplinary cooperation between nursing and dental professionals for the development of an oral health curriculum for nurses to promote and improve oral health and prevent dental diseases in hospitalized patients and the community.

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Poor Oral Health as a Determinant of Malnutrition and Sarcopenia

Nutrients ◽

10.3390/nu11122898 ◽

2019 ◽

Vol 11 (12) ◽

pp. 2898 ◽

Cited By ~ 14

Author(s):

Domenico Azzolino ◽

Pier Carmine Passarelli ◽

Paolo De Angelis ◽

Giovan Battista Piccirillo ◽

Antonio D’Addona ◽

...

Keyword(s):

Oral Health ◽

Nutrient Intake ◽

Negative Impact ◽

Food Selection ◽

Whole Body ◽

Oral Diseases ◽

Dietary Counselling ◽

The Common ◽

Muscle Groups ◽

And Oxidative Stress

Aging is accompanied by profound changes in many physiological functions, leading to a decreased ability to cope with stressors. Many changes are subtle, but can negatively affect nutrient intake, leading to overt malnutrition. Poor oral health may affect food selection and nutrient intake, leading to malnutrition and, consequently, to frailty and sarcopenia. On the other hand, it has been highlighted that sarcopenia is a whole-body process also affecting muscles dedicated to chewing and swallowing. Hence, muscle decline of these muscle groups may also have a negative impact on nutrient intake, increasing the risk for malnutrition. The interplay between oral diseases and malnutrition with frailty and sarcopenia may be explained through biological and environmental factors that are linked to the common burden of inflammation and oxidative stress. The presence of oral problems, alone or in combination with sarcopenia, may thus represent the biological substratum of the disabling cascade experienced by many frail individuals. A multimodal and multidisciplinary approach, including personalized dietary counselling and oral health care, may thus be helpful to better manage the complexity of older people. Furthermore, preventive strategies applied throughout the lifetime could help to preserve both oral and muscle function later in life. Here, we provide an overview on the relevance of poor oral health as a determinant of malnutrition and sarcopenia.

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