J Adv Prosthodont.  2013 Feb;5(1):51-57. 10.4047/jap.2013.5.1.51.

Relationship of tooth mortality and implant treatment in Type 2 diabetes mellitus patients in Korean adults

Affiliations
  • 1Department of Periodontics, College of Dentistry, Kyungpook National University, Daegu, Republic of Korea. leejm@knu.ac.kr
  • 2Department of Conservative Dentistry, College of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
  • 3Department of Prosthodontics, College of Dentistry, Kyungpook National University, Daegu, Republic of Korea. prosth95@knu.ac.kr

Abstract

PURPOSE
The purpose of this study was to to analyze the effect of Type 2 diabetes on tooth mortality, implant treatment and prosthetic status.
MATERIALS AND METHODS
275 Type 2 diabetics and 300 non-diabetics, aged 40-80 years were selected for analysis. The assessment of number of teeth, missing teeth, fixed prostheses (bridge pontics), implants using panoramic radiographs and dental records were carried out.
RESULTS
Diabetes mellitus (DM) patients had a higher number of missing teeth (P<.05) and placed implants (P=.074), age (P<.05), male gender percentage (P=.042), smoker percentage (P<.05) than non-DM patients. In univariate analysis, the patients in older group showed significantly higher number of tooth loss rate at the first dental examination than the patients in younger group. Tooth loss rate of smokers did not show higher value than that of non-smokers. When multiple variables including DM, age, smoking, gender were considered together, diabetics and older group patients showed significantly higher tooth loss rate at the first dental examination than non-diabetics and younger group patients, respectively. Smokers and male group did not show a significant difference than non-smokers and female group, respectively.
CONCLUSION
Tooth mortality and implant treatment rate were significantly higher in the DM group as indicated by univariate and multivariate logistic regression analysis. Old age groups showed significantly higher odds ratios and tooth loss rate. As diabetics showed the higher tooth loss rate than non-diabetics, diabetics also had more implant restorations than non-diabetics.

Keyword

Diabetic mellitus; Tooth loss; Implant restoration; Prosthetic status

MeSH Terms

Adult
Aged
Dental Records
Diabetes Mellitus
Diabetes Mellitus, Type 2
Female
Humans
Logistic Models
Male
Odds Ratio
Prostheses and Implants
Smoke
Smoking
Tooth
Tooth Loss
Smoke

Figure

  • Fig. 1 Box plot analysis for tooth loss in Control and DM patients.


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