Association between Diabetes Mellitus and Oral Health Status in Patients with Cardiovascular Diseases: A Nationwide Population-Based Study

Su-Jin Han, Youn-Jung Son and Bo-Hwan Kim
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Su-Jin Han: Department of Dental Hygiene, College of Health Science, Gachon University, (21936) 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Korea
Youn-Jung Son: Red Cross College of Nursing, Chung-Ang University, (06974) 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Korea
Bo-Hwan Kim: College of Nursing, Gachon University, (21936) 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Korea

IJERPH, 2021, vol. 18, issue 9, 1-11

Abstract: Diabetes mellitus (DM) can lead to poor oral health. However, oral health among diabetic patients with cardiovascular diseases (CVDs) is scarcely studied. This study aimed to elucidate the prevalence of oral health complications and the relationship between DM and oral health status in diabetic patients with CVDs. This retrospective nationwide cross-sectional study evaluated 3495 patients aged ?40 years with CVD, with DM ( n = 847) and without DM ( n = 2648). The participant’s characteristics between the two groups were compared using the Chi-square test and t-test. Logistic regression analyses were performed to identify associations between DM and oral health status. The prevalence of periodontitis (54.3% vs. 43.2%) and <20 number of remaining teeth (30.9% vs. 22.8%) was significantly higher in the DM than in the non-DM group. In the multivariate regression analysis, the incidence of periodontitis was 1.4 times higher in the DM group than in the non-DM after adjusting for confounders; however, the number of remaining teeth and active caries were not associated with DM. In conclusion, the oral health status of patients with coexisting CVD and DM should be assessed closely and actively. Healthcare professionals should provide accessible dental care services and develop strategies to improve patients’ oral health.

Keywords: cardiovascular diseases; diabetes mellitus; oral health; periodontitis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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