AI Article Synopsis
- Diabetes and periodontal disease have a complex relationship, where each condition worsens the other, especially impacting older patients in India.
- A study of 8,564 patients aged 45 and older found that nearly 60% reported oral health issues, with common problems including tooth pain and loose teeth, and many had significant tooth loss.
- Factors like female gender, higher education, wealth, and lifestyle choices (tobacco and alcohol use) were linked to a higher risk of oral health issues, highlighting the need for better integration of oral and diabetes care services.
Article Abstract
Background Diabetes mellitus (DM) and periodontal disease share a complex bidirectional relationship, resulting in worsening of oral health with persistent impairment of glycemic control. Objective The objective of this study was to ascertain the burden, patterns, and predictors of oral morbidities in older patients with DM, including their health-seeking behavior in India. Materials and methods We used the nationally representative Longitudinal Ageing Study in India (LASI) wave-1 dataset (2017) to analyze data from 8,564 patients with DM aged ≥45 years. Results The median duration of DM in the participants was eight years. The weighted prevalence of at least one or more self-reported oral health morbidities was 59.85% (95% CI: 56.57% to 63.13%) including tooth pain (33.47%), loose teeth (29.98%), swelling in gums (10.08%), and bleeding gums (9.1%). Furthermore, patients with DM had a substantial burden of total (8.84%) and partial edentulism (66.35%). On adjusted analysis, female gender, higher educational status, higher wealth quintile, tobacco use, alcohol use, and greater duration of DM had significantly higher odds of having oral health morbidities excluding caries. Only 79 (0.12%) patients reported visiting dentists in the previous 12 months. Conclusions Integration of oral healthcare services with existing diabetes care in outpatient settings should be strengthened to improve oral health related quality of life.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582345 | PMC |
| http://dx.doi.org/10.7759/cureus.72164 | DOI Listing |
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