Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Oral condition and Oral Health Promotion Method in Diabetes Mellitus

당뇨병 환자의 구강 상태 및 구강건강증진방안

  • Lee, Hee-Kyung (Department of Dentistry, College of Medicine, Yeungnam University) ;
  • Park, Eun-Young (Department of Dentistry, College of Medicine, Yeungnam University) ;
  • Lee, Sung-Kook (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
  • 이희경 (영남대학교 의과대학 치과학교실) ;
  • 박은영 (영남대학교 의과대학 치과학교실) ;
  • 이성국 (경북대학교 의과대학 예방의학교실)
  • Published : 2007.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was intended to provide basic data for developing an oral health management program for diabetic patients by understanding their oral health condition and defining the influence of diabetes on oral health. The following results were obtained through intraoral examination and questionnaire surveys done on one hundred and twenty two diabetic outpatients who visited endocrine department at Yeungnam University in Daegu and internal medicine department at Chungmu hospital in Cheonahn for 4 months from November, 2005 to February, 2006. DMF index according to the gender was significantly higher in females only in Filling index (p <0.05). Missing index increased as the age increased (p <0.001). Papillary bleeding index was significantly higher in females (p <0.05). Several indices which show oral status significantly higher as the duration of diabetes increased and as the blood sugar level before meal was higher (p <0.01, p <0.05). In a group that received oral hygiene education, several indices which show periodontal status were significantly lower than those in a group that didn't have it (p <0.001). According to the results, not only diabetic control but also general oral care should be included in self-management education for diabetic patients and this should be accomplished by appropriate oral health education program and staffs.

Keywords

References

  1. 권영혁: 당뇨병과 치주질환. 경희의학 14(3):237-244, 1998
  2. 대한당뇨병학회: 당뇨병학. 1995, p 221-31
  3. 보건복지부: 국민구강건강실태조사. 2000, p43-47
  4. 보건복지부: 2001년도 국민건강 영양조사-총괄보고서-2002
  5. 이영순: 인슐린 의존형 당뇨병 환자의 구강상태에 관한 연구. 석사학위 논문, 연세대학교 대학원, 1992
  6. 홍석진, 이상대, 배정식: 잇솔질교육, 스켈링에 의한 치면세균막 및 치은출혈 감소효과. 대한구강보건학회지 18(2): 434-440, 1994
  7. American Diabetes Association: Standards of medical care in diabetes-2006. Diabetes Care 29:S4-S42, 2006
  8. Barnett ML, Baker RL, Yancey JM, Macmillan DR, Kotoyan M: Absence of periodontitis in a population of insulin-dependent diabetes mellitus (IDDM) patients. J Periodontol 55(7) : 402, 1984
  9. Boorujy SR, Ship II: An epidemiologic and clinical study of the prevalence of periodontal disease in diabetics. Abstract J Dent Res 58, 1975
  10. Campbell MJA: Epidemiology of periodontal disease in the diabetic and nondiabetic. Aust Dent J 17; 274, 1972
  11. Cohen DW, Friedman L, Shapiro J, Kyle GC: Diabetes mellitus and periodontal disease, Two year longitudinal observation. Part I. J Periodontol 41(12): 709-712, 1970 https://doi.org/10.1902/jop.1970.41.12.709
  12. Cianciola LJ, Park BH, Bruck E, Mosovisch L, Genco RJ: Prevalence of periodontal disease in insulin dependent diabetes mellitus. JADA 104(5): 653-60, 1982
  13. Darnell J, Saunders M: Oral manifestations of the diabetic patient. Tex Dent J 107(2): 23-27, 1990
  14. Ervasti T, Knuuttila M, Pobjamo L, Haukipuro K: Relation between control of diabetes and gingival bleeding. J Periodontol 56(3): 154-157, 1985 https://doi.org/10.1902/jop.1985.56.3.154
  15. Glavind L, Lund B, Loe H: The relationship Between periodontal state and diabetes duration insulin dosage and retinal changes. J Periodontol 39: 341-347, 1968 https://doi.org/10.1902/jop.1968.39.6.341
  16. Hove KA, Stallard RE: Diabetes and the periodontal patient. J Periodontol 41: 713-718, 1970 https://doi.org/10.1902/jop.1970.41.12.713
  17. Husband A: Application of king theory of nursing to the care of the adult with diabetes. J Advanced Nursing 13(4): 484-488, 1988 https://doi.org/10.1111/j.1365-2648.1988.tb02854.x
  18. Kjellman O: Oral condition in 105 subjects with insulin treated diabetes mellitus
  19. Swed Dent J 63(2) : 99-110, 1970
  20. Mandel ID: Relation of saliva and plaque to caries. J of Dent Res 53(2): 246-266, 1974 https://doi.org/10.1177/00220345740530021201
  21. Marder MZ, Abelson, DC, Mandel, ID: Salivary alterations in diabetes mellitus. J Periodontol 46(9) : 567-569, 1975 https://doi.org/10.1902/jop.1975.46.9.567
  22. Matsuoka K: Education for diabetes in Japan. 당뇨병학 14(2): 246-247, 1990
  23. Murrah VA: Diabetes mellitus and associated oral manifestations. J Oral Pathol 14(4) : 271-281, 1985 https://doi.org/10.1111/j.1600-0714.1985.tb00494.x
  24. Nichols C, Laster LL, Bodak-Gyovai LZ: Diabetes mellitus and periodontal disease. Periodontol 49: 85-88, 1978 https://doi.org/10.1902/jop.1978.49.2.85
  25. Safkan-seppala B, Ainamo J: Periodontal conditions in insulin-dependent diabetes mellitus. J Clin Periodontal 19:24-29, 1992 https://doi.org/10.1111/j.1600-051X.1992.tb01144.x
  26. Sznajder N, Carraro JJ, Sereday M: Periodontal finding in diabetic and nondiabetic patients. J Periodontol 49:445-448, 1978 https://doi.org/10.1902/jop.1978.49.9.445
  27. Tenovuo J, Alanene P, Larjava H, Vikari J, Lehtonen O-P: Oral health of patients with insulin dependent diabets mellitus. Scand J De Res 94(4): 338-346, 1986
  28. Tervonen I, Knuuttila M: Relation of diabetes control to periodontal pocketing and alveolar bone level. Oral Surg Oral Med 61: 346-349, 1986 https://doi.org/10.1016/0030-4220(86)90417-2