Relationship between the Self-Reported Oral Health Status and Hemoglobin A1c Level among Diabetic Patients

일부 당뇨병 환자에서 당화혈색소 수치와 주관적 구강건강상태와의 연관성

  • Choi, Jun-Seon (Department of Dental Hygiene, Gachon University of Medicine and Science)
  • 최준선 (가천의과학대학교 치위생학과)
  • Published : 2008.03.30

Abstract

Objective: This study was to investigate the relationship between hemoglobin A1c level and self-reported oral health status. Methods: The subjects of this study were 150 diabetic patients (60 male patients and 90 female patients) who went to the internal and family medicine departments of clinic. This study used the questionnaire and NYCOCARD$\square$ READERII to quantify hemoglobin A1c. Results: The proportion of well controlled diabetes subjects was 31.3%. When hemoglobin A1c levels became higher, subjects perceived that there were more decay teeth, bleeding, swollen gums, mobility teeth, and oral disease symptoms. In comparison with the well glycemic control group, poor glycemic control group perceived that the overall oral health status was worse, and had more bleeding teeth, swollen gums and mobility teeth. Conclusion: These results show that hemoglobin A1c level is related to the self-reported oral health status. Therefore, dental professionals should emphasize more the necessity of maintaining the hemoglobin A1c of normal range and monitoring it periodically, and the practice of thorough oral hygiene care in order to promote diabetic patients' oral health.

Keywords

References

  1. 강민구. 단순 만성 치은염 환자와 2형 당뇨병을 동반한 만성 치주염 환자의 치은조직에서 MMR-2의 발현 양상 비교. 경북대학교 대학원, 2004
  2. 강현경 외 11인. 치주학. 고문사, 2007
  3. 김성찬, 고정호. 당뇨병 환자의 운동참여와 합병증 유무가 혈당, 혈중지질 및 혈압에 미치는 영향. 체육과학연구 1996;2:37-56
  4. 김용식 외 6인. 2형 당뇨병 환자의 미각. 대한구강내과학회지 2003;28(4):401-412
  5. 김현섭. 당뇨병 환자의 치주건강 상태에 대한 임상적 연구. 조선대학교 대학원, 1992
  6. 보건복지부.질병관리본부. 비만심포지엄. 서울: 보건복지부, 2006
  7. 손호영. 당화혈색소, 인지도 제고 절실. 의료신문 2006년 11월 20일자
  8. 손호영. 당뇨병 환자, '당화혈색소' 잘 몰라. 월간당뇨 2006년 12월호
  9. 이경동, 이희경. 당뇨병 환자에서 우식경험영구치지수, 치주질환지수 및 구강위생상태. 영남의대학술지 2005;22(1):62-71
  10. 이윤옥 외 10인. 제2형 당뇨병 환자에서 적극적 환자 교육이 혈당조절에 미치는 효과. 대한내분비학회 2003;18(1):63-72
  11. 유형준. 당뇨병의 치료개론. 의약정보 2004;30(7) :8-9
  12. 질병관리본부. 국민건강영양조사 제3기 조사결과 심층분석연구. 서울:보건복지부, 2007
  13. 전점이. 당뇨병 환자의 자가관리 경험에 관한 연구. 성인간호학회지 1996;8(2):244-259
  14. 통계청. 2004년 사망원인 통계결과, 서울: 통계청, 2005
  15. Albrecht M, Banoczy J, Tamas G. Dental and oral symptoms of diabetes mellitus. Community Dent Oral Epidemiol 1988; 16(6):378-380 https://doi.org/10.1111/j.1600-0528.1988.tb00586.x
  16. Albrecht M, Banoczy J, Tamas G. Dental and oral symptoms of diabetes mellitus. Community Dent Oral Epidemiol 1988; 16(6):378-380 https://doi.org/10.1111/j.1600-0528.1988.tb00586.x
  17. Bacic M, Ciglar I, Granić M, Plančak D, Šutalo J. Dental status in a group of adult diabetic patients. Community Dent Oral Epidemiol 1989;17(6):313-331 https://doi.org/10.1111/j.1600-0528.1989.tb00645.x
  18. Dennis LK 외 5명. Harrison's Principles of Internal Medicine(16th, two-volume Set), McGraw Hill. 2004.
  19. Duarte PM 외 4인. Diabetes modulates gene expression in the gingival tissues of patients with chronic periodontitis. Oral Diseases 2007;13(6):594-599 https://doi.org/10.1111/j.1601-0825.2006.01348.x
  20. Ervasti T, Knuuttila M, Pohjamo L, Haukipuro K. Relation between control of diabetes and gingival bleeding. J Periodontol 1985;56:154-157 https://doi.org/10.1902/jop.1985.56.3.154
  21. Hintao J 외 4인. Root surface and coronal caries in adults with type 2 diabetes mellitus. Community Dent Oral Epidemiol 2007;35(4):302-309 https://doi.org/10.1111/j.1600-0528.2007.00325.x
  22. Jones RB 외 4인. Oral health and oral health behaviour in a population of diabetic outpatient clinic attenders. Community Dent Oral Epidemiol 1992;20(4):204-220 https://doi.org/10.1111/j.1600-0528.1992.tb01717.x
  23. Karikoski A, Ilanne-Parikka P, Murtomaa H. Oral self-care among adults with diabetes in Finland. Community Dent Oral Epidemiol 2002;30(3):216-223 https://doi.org/10.1034/j.1600-0528.2002.300308.x
  24. Kiran M, Arpak N, Űnsal E, Erdoğan MF. The effect of improved periodontal health on metabolic control in type 2 diabetes mellitus. J Clin Periodontol 2005;32(3):266-272 https://doi.org/10.1111/j.1600-051X.2005.00658.x
  25. Locker D. Applications of self-reported assessments of oral health outcomes. J Dent Educ 1996;60:494-500
  26. Mattout C, Bourgeois D, Bouchard P. Type 2 diabetes and periodontal indicators: epidemiology in France 2002-2003. J Periodont Res 2006;41(4):253-258 https://doi.org/10.1111/j.1600-0765.2006.00862.x
  27. Mealey BL and Ocampo GL. Diabetes mellitus and periodontal disease. Periodontology 2000 2007;44(1):127-153 https://doi.org/10.1111/j.1600-0757.2006.00193.x
  28. Murrah VA. Diabetes mellitus and associated oral manifestation: a review. J Oral Pathol Med 1985;14(4):271-81 https://doi.org/10.1111/j.1600-0714.1985.tb00494.x
  29. Persson RE 외 5인. Assessment of periodontal conditons and systemic disease in older subjects. J Clin Periodontol 2003;30(3): 207-213 https://doi.org/10.1034/j.1600-051X.2003.00237.x
  30. Segura-Egea JJ 외 6인. High prevalence of apical periodontitis amongst type 2 diabetic patients. Int Endod J 2005; 38(8):564-569 https://doi.org/10.1111/j.1365-2591.2005.00996.x
  31. 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(4):306-310 https://doi.org/10.1034/j.1600-051x.2001.028004306.x
  32. Tervonen T and Oliver RC. Long-term control of diabetes mellitus and periodontitis. J Clin Periodontol 1993; 20(6):431-435 https://doi.org/10.1111/j.1600-051X.1993.tb00384.x