Poor Glycemic Control Increases Dental Risk in a Sri Lankan Population

Author:

Steigmann Larissa1ORCID,Gunaratnam Sejal2,Giannobile William V.1ORCID,Van Til Monica3,Daignault-Newton Stephanie3ORCID,Herman William H.2,Gunaratnam Naresh4,Katulanda Prasad5,Sarma Aruna V.3

Affiliation:

1. Division of Periodontology, Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, MA 02115, USA

2. Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, MI 48109, USA

3. Department of Urology, University of Michigan School of Medicine, Ann Arbor, MI 48109, USA

4. Huron Gastroenterology and Associates, Ypsilanti, MI 48197, USA

5. Faculty of Medicine, University of Colombo, Colombo 00300, Sri Lanka

Abstract

Introduction: The aim of our study was to investigate the impact of diabetes-related factors on the dental disease outcomes of diabetes patients in Trincomalee, Sri Lanka. Materials and Methods: Dental data were collected from 80 type-2-diabetic individuals. A dental risk score was calculated based on the frequency of dental outcomes observed and categorized as low risk (≤3 dental outcomes) and high risk (>3 dental outcomes). Results: In this cohort of men and women with type 2 diabetes, there was a high frequency of periodontal related outcomes, including missing teeth (70%), gingival recessions (40%), tooth mobility (41%), and bleeding (20%). Thirty-nine (39%) of participants had high dental risk, while forty-nine (61%) had low risk. Conclusions: After controlling for age, participants with higher capillary blood glucose levels had 3-fold greater odds of a high dental risk score (OR = 2.93, 95%CI = 1.13, 7.61). We found that poor glycemic control indicated by elevated capillary blood glucose was associated with increased dental risk.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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