Assessing the relationship between diabetes mellitus and dental caries among US adults: The National Health and Nutrition Examination Survey (NHANES) 2013-2020.

Public Health

Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA; Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PA, USA. Electronic address:

Published: January 2025

Objectives: To assess the relationship between diabetes prevalence and dental caries experience among a representative sample of US adults.

Study Design: Cross-sectional study.

Methods: We used data on participants 25 years and older with complete data from the continuous National Health and Nutrition Examination Survey (NHANES) cycles in 2013-2020. We defined diabetes prevalence using glycohemoglobin and self-reported diabetes. Dental caries was operationalized using the decayed, missing, filled teeth (DMFT) score from a standardized dental examination. We used Poisson models to examine adjusted associations with dental caries experience or the DMFT score.

Results: We found a dose-response association between diabetes prevalence and DMFT score (RR = 1.017, 95 % CI: 0.994-1.041 for prediabetes and RR = 1.045, 95 % CI: 1.017-1.074 for diabetes) after adjusting for age, sex, race, education, family income to poverty ratio, smoking status, body weight and last dental visit.

Conclusions: Diabetes prevalence was associated with higher dental caries experience. Future studies should examine the mechanism and interventions to ameliorate this association.

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http://dx.doi.org/10.1016/j.puhe.2024.12.023DOI Listing

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