J Korean Acad Oral Health.  2015 Sep;39(3):207-213. 10.11149/jkaoh.2015.39.3.207.

Assessment of the quality of life and oral health status in diabetic patients

Affiliations
  • 1Department of Preventive & Social Dentistry, School of Dentistry, Seoul National University, Seoul, Korea. jjbh@snu.ac.kr
  • 2Gwang-Jin Gu Public Health Center, Seoul, Korea.

Abstract


OBJECTIVES
The aim of this study was to investigate changes in the quality of life and oral health status in diabetic patients as a result of non-surgical periodontal treatments.
METHODS
In total, 55 diabetic patients who visited the health care center at our institution participated in this study. The patients were divided randomly into 3 groups as follows: scaling and root planning (SRP), professional maintenance care (PMC), and control (CT). The patients were asked to answer the Short-Form-36 Health Survey (SF-36) to evaluate their quality of life, and two examiners evaluated the patients' oral health status before and after the periodontal treatments. To evaluate the oral health status, the current number of teeth, DMFT index, bleeding on probing rate (BOP), pocket depth (PD), and calculus index (CI) were used. Statistical analyses were conducted using SPSS with appropriate sampling weights to adjust for the stratified sample design.
RESULTS
In both the SRP and PMC groups, the BOP and CI decreased after the treatment (P<0.05). In the SRP group, physical functioning and the mental health score increased (P<0.05).
CONCLUSIONS
According to the results, non-surgical periodontal treatment in diabetic patients is effective in increasing the health-related quality of life.

Keyword

Diabetes; Non-surgical periodontal treatment; Oral health; Quality of life; SF-36

MeSH Terms

Calculi
Delivery of Health Care
Health Surveys
Hemorrhage
Humans
Mental Health
Oral Health*
Quality of Life*
Tooth
Weights and Measures

Reference

References

1. Organization for Economic Cooperation and Development (OECD). Better Life Index [Internet]. [cited 2015 Aug 21]. Available from:. http://www.oecdbetterlifeindex.org/#/11111111111.
2. Pickup JC, Williams G. Textbook of diabetes. 3rd ed.Malden, Mass: Blackwell Science;2003.
3. International Diabetes Federation (IDF). Diabetes Atlas [Internet]. [cited 2015 Aug 21]. Available from:. http://www.idf.org/diabetesat-las/update-2014.
4. Ministry of Health and Welfare. Korea Health Statistics 2013. Seoul: Ministry of Health & Welfare;2014. p. 54.
5. Korean Diabetes Association. Korean Diabetes Research Report 2012. Seoul: Korean Diabetes Association;2013.
6. World Health Organization (WHO). The 10 leading causes of death in the world 2000 and 2012 [Internet]. [cited 2015 Aug 21]. Available form:. http://www.who.int/mediacentre/factsheets/fs310/en/.
7. Statistics Korea. Cause of death statistics 2013 [Internet]. [cited 2015 Jul 24]. Available from:. http://kostat.go.kr/wnsearch/search.jsp.
8. Kim YA. Diabetes Management Status among Adults in Republic of Korea, 2008-2012. Seoul: Korea Centers for Disease Control and Prevention;2014. p. 3.
9. Löe H. Periodontal disease-the sixth complication of diabetes mellitus. Diabetes Care. 1993; 16:329–334.
10. Tomar SL, Lester A. Dental and other health care visits among U.S. adults with diabetes. Diabetes Care. 2000; 23:1505–1510.
Article
11. Saito T, Shimazaki Y, Kiyohara Y, Kato I, Kubo M, Iida M, et al. The severity of periodontal disease is associated with the development of glucose intolerance in non-diabetics:the Hisayama Study. J Dent Res. 2004; 83:485–490.
12. Taylor G. Periodontal treatment and its effects on glycemic control, 1999. Oral Surg Oral Med Oral Pathol. 1999; 87:311–316.
13. Committee on Research, Science and Therapy, American Academy of Periodontology. Diabetes and periodontal disease. J Periodontol. 2000; 71:664–678.
14. Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dun-ford RG, et al. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol. 1999; 68:713–719.
Article
15. Deen D. Metabolic syndrome: Time for action. Am Fam Physician. 2004; 69:2875–2882.
16. Inglehart M, Bagramian R. Oral health-related quality of life. Chicago: Quintessence Books;2002. p. 99–109.
17. Lee JY. Oral health status and systemic health change of diabetic patients according to the method of non-surgical periodontal treatment application [master’s thesis]. Seoul: Seoul National Univer-sity;2015. [Korean].
18. Gaikwad SP, Gurav AN, Shete AR, Desarda HM. Effect of scaling and root planing combined with systemic doxycycline therapy on glycemic control in diabetes mellitus subjects with chronic generalized periodontitis: a clinical study. J Periodontal implant Sci. 2013; 43:79–86.
Article
19. World Health Organization. Oral health surveys basic method. 5th ed. Geneva: World Health Organization;2013. p. 87.
20. Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964; 68:7–13.
Article
21. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30:473–483.
22. Koh SB, Jang SJ, Kang MG, Cha BS, Park JK. Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean J Prev Med. 1997; 30:251–266.
23. Freed MM. Quality of life the physician’s dilemma. Arch Phys Medicine Rehabil. 1984; 65:109–111.
24. Noh YJ. Analysis of quality of life of middle-aged adults dwelling in Seoul [doctorate thesis]. Seoul: Yonsei University;1988. [Korean].
25. Nehra M, Selmira B, Sabina N, Nurka P. Quality of life of people with diabetes mellitus type 2. HealthMED. 2012; 6:1076–1080.
26. McGrath C, Bedi R. A national study of the importance of oral health to life quality to inform scales of oral health related quality of life. Qual Life Res. 2004; 13:813–818.
Article
27. Irani FC, Wassall RR, Preshaw PM. Impact of periodontal status on oral health-related quality of life in patients with and without type 2 diabetes. J Dent. 2015; 43:506–511.
Article
28. Ucok K, Yalcinkaya H, Acay A, Coban NF, Aslanalp G, Akkan G, et al. Do patients with newly diagnosed type 2 diabetes have impaired physical fitness, and energy expenditures? Neth J Med. 2015; 73:276–283.
29. Moulton CD, Pickup JC, Ismail K. The link between depression and diabetes: the search for shared mechanisms. Lancet Diabetes Endo-crinol. 2015; 3:461–471.
Article
30. Allison P, Locker D, Jokovoc A, Slade G. A cross-cultural study of oral health values. J Dent Res. 1999; 78:643–649.
Article
Full Text Links
  • JKAOH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr