Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

Improved periodontal health aspects according to the tooth position through the non-surgical professional oral hygiene care in the diabetic youth

소아.청소년당뇨환자에서 비외과적 전문가 구강위생관리를 통한 치아부위별 단기 및 중기 치주건강 개선비교

  • Kang, Nam-Kyu (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University) ;
  • Choi, Youn-Hee (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University) ;
  • An, Seo-Young (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University) ;
  • Jeong, Seong-Hwa (Faculty of Health Science, Daegu Haany University) ;
  • Jeon, Eun-Suk (Department of Dental Hygiene, Choonhae College of Health Sciences) ;
  • Song, Keun-Bae (Department of Preventive Dentistry, School of Dentistry, Kyungpook National University)
  • 강남규 (경북대학교 치의학전문대학원 예방치과학교실) ;
  • 최연희 (경북대학교 치의학전문대학원 예방치과학교실) ;
  • 안서영 (경북대학교 치의학전문대학원 구강악안면방사선학교실) ;
  • 정성화 (대구한의대학교 보건학부) ;
  • 전은숙 (춘해보건대학 치위생과) ;
  • 송근배 (경북대학교 치의학전문대학원 예방치과학교실)
  • Published : 2012.09.30
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study was to compare short-term and medium-term effects of gingival index (GI) and dental plaque index (PI), according to the tooth position through the oral hygiene education in the diabetic youth. Methods: The total number of participants were 31 diabetics and 87 controls in the city of Daegu. Oral examination and professional oral hygiene care were performed among the 31 diabetic youth who consented to the study at the first visit. The professional oral hygiene care consisted of the tooth brushing method, oral prophylaxis, scaling, fluoride application, sealant and dental auxiliary education. We collected the data from all participants for the identification of oral condition at 2 weeks and 3 months. The #11, #14, #16, #31, #34, #36 teeth were selected for the measurement of the oral hygiene conditions. GI and PI were used for oral hygiene scores. The data was analyzed with SPSS 18.0 program. Results: Both GI and PI were significantly decreased in the treatment group of the 31 diabetic youth in comparison to the controls, by tooth position compared to the baseline (P<0.001). In particular, GI measurements constantly decreased upto 3 months and the PI measurements decreased upto 2 weeks and increased slightly from 2 weeks to 3 months. In the GI measurements, the decrement of #14 was the highest (48.4%) and #36 was the lowest (25.2%) among all teeth. In the PI measurements, the decrement of #14 was the highest (45.5%) and #16 was the lowest (19.8%) among all teeth. In the control group, PI increased on all tooth positions, and GI increased on some tooth positions. Conclusions: The program of professional oral hygiene care in the diabetic youth has improved the oral health care when compared to the controls. We suggest that the sites where oral hygiene is more difficult to control have more oral hygiene education than the other sites.

Keywords

References

  1. Korean Diabetes Association. [cited 2012 Apr 20]. Available from: https://www.diabetes.or.kr
  2. The Statistics Korea. [cited 2012 Apr 20]. Available from: https://kostat.go.kr
  3. Sandler HC, Stahl SS. Prevalence of periodontal disease in a hospitalized population. J Dent Res 1960;39:439-449.
  4. Cohen DW, Friedman LA, Shapiro J, Kyle GC, Franklin S. Diabetes mellitus and periodontal disease: two-year longitudinal observations. I. J Periodontol 1970;41:709-712.
  5. Katz J, Flugelman MY, Goldberg A, Heft M. Association between periodontal pockets and elevated cholesterol and low density lipoprotein cholesterol levels. J Periodontol 2002;73:494-500.
  6. Cianciola LJ, Park BH, Bruck E, Mosovich L, Genco RJ. Prevalence of periodontal disease in insulin-dependent diabetes mellitus. J Am Dent Assoc 1982;104:653-660.
  7. Moore PA, Weyant RJ, Mongelluzzo MB, Myers DE, Rossie K, Guggenheimer J, et al. Type 1 diabetes mellitus and oral health: Assessment of periodontal disease. J Periodontol 1999;70:409-417.
  8. Saes Busato IM, Bittencourt MS, Machado MA, Gregio AM, Azevedo-Alanis LR. Association between metabolic control and oral health in adolescents with type 1 diabetes mellitus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109:51-56.
  9. Siudikiene J, Machiulskiene V, Nyvad B, Tenovuo J, Nedzelskiene I. Dental caries increments and related factors in children with type 1 diabetes mellitus. Caries Res 2008;42:354-362.
  10. Lalla E, Cheng B, Lal S, Tucker S, Greenberg E, Goland R, et al. Periodontal changes in children and adolescents with diabetes: a case-control study. Diabetes Care 2006;29:295- 299.
  11. Han KY, Lim KJ. A study on the rate of each tooth loss due to periodontal disease during surgical periodontal treatment. J Periodontal Implant Sci 1990;20:413-426.
  12. Shin WC, Kang SG, Kim DK. The effectiveness of maintenance care by non - surgical treatment on the periodontal disease. J Korean Acad Oral Health 2001;25: 109-121.
  13. Mealey BL, Rose LF. Diabetes mellitus and inflammatory periodontal diseases. Curr Opin Endocrinol Diabetes Obes 2008;15:135-141.
  14. Iwamoto Y, Nishimura F, Nakagawa M, Sugimoto H, Shikata K, Makino H, et al. The effect of antimicrobial periodontal treatment on circulating tumor necrosis factor-alpha and glycated hemoglobin level in patients with type 2 diabetes. J Periodontol 2001;72:774-778.
  15. Christgau M, Palitzsch KD, Schmalz G, Kreiner U, Frenzel S. Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological, and immunologic results. J Clin Periodontol 1998;25:112- 124.
  16. Stewart JE, Wager KA, Friedlander AH, Zadeh HH. The effect of periodontal treatment on glycemic control in patients with type 2 diabetes mellitus. J Clin Periodontol 2001;28:306-310.
  17. Jones JA, Miller DR, Wehler CJ, Rich SE, Krall-Kaye EA, McCoy LC, et al. Does periodontal care improve glycemic control? The department of veterans affairs dental diabetes study. J Clin Periodontol 2007;34:46-52.
  18. Navarro-Sanchez AB, Faria-Almeida R, Bascones-Martinez A. Effect of non-surgical periodontal therapy on clinical and immunological response and glycaemic control in type 2 diabetic patients with moderate periodontitis. J Clin Periodontol 2007;34:835-843.
  19. Rodrigues DC, Taba MJ, Novaes AB, Souza SL, Grisi MF. Effect of non-surgical periodontal therapy on glycemic control in patients with type 2 diabetes mellitus. J Periodontol 2003;74:1361-1367.
  20. da Cruz GA, de Toledo S, Sallum EA, Sallum AW, Ambrosano GM, de Cassia Orlandi Sardi J, et al. Clinical and laboratory evaluations of non-surgical periodontal treatment in subjects with diabetes mellitus. J Periodontol 2008;79:1150-1157.
  21. Santos VR, Lima JA, De Mendonça AC, Braz Maximo MB, Faveri M, Duarte PM. Effectiveness of full-mouth and partial-mouth scaling and root planing in treating chronic periodontitis in subjects with type 2 diabetes. J Periodontol. 2009;80:1237-1245.
  22. Stewart JE, Jacobs-Schoen M, Padilla MR, Maeder LA, Wolfe GR, Hartz GW. The effect of a cognitive behavioral intervention on oral hygiene. J Clin Periodontol 1991;18:219-222.
  23. Iughetti L, Marino R, Bertolani MF, Bernasconi S. Oral health in children and adolescents with IDDM-a review. J Pediatr Endocrinol Metab 1999;12(5 Suppl 2):S603-610.
  24. Kang NK, Choi YH, Baek HJ, Jung YS, Lee YE, Song KB. The effect of professional oral hygiene care in diabetic youth. J Korean Acad Oral Health 2011;35:155-161.
  25. Loe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38:610-616.
  26. Kwon YE, Ha JE, Paik DI, Jin BH, Bae KH. The relationship between periodontitis and metabolic syndrome among a Korean nationally representative sample of adults. J Clin Periodontol 2011;38:781-786.
  27. Baek HJ, Choi YH, Lee SG, Song KB, Kwon HJ. The association of metabolic syndrome and periodontitis in Korean adult population. J Korean Acad Oral Health 2010; 34:338-345.
  28. Jin HJ, Choi YH, Lee SG, Song KB, Lee HK, Kwon HJ, et al. Relationship between metabolic syndrome and gingival health among Korean adolescents. J Korean Acad Oral Health 2010;34:230-237.
  29. Gislen G, Nilsson KO, Matsson L. Gingival inflammation in diabetic children related to degree of metabolic control. Acta Odontol Scand 1980;38:241-246.
  30. Park JH. The effect on periodontal health and glycemic control of the type 1 diabetic youth according to professional oral care [dissertation]. Daegu:Kyungpook National University; 2011. [Korean].