| Objective:To understand the periodontal health status of patients with type 2 diabetes,and grasp the incidence of periodontitis in different characteristics of the population.Understand the periodontal health status of people with type 2 diabetes,and master the incidence of periodontitis in people with different characteristics.To explore the correlation between periodontal status and demographic characteristics,daily oral hygiene and life behavior,and general health status,so as to provide suggestions and theoretical basis for the prevention,health care and follow-up treatment of periodontitis in patients with type 2 diabetes.Methods:The subjects included in this study were 1613 patients with type 2 diabetes aged18-93 who visited the outpatient department of endocrinology of Jiangxi Provincial People’s Hospital from April 2021 to December 2021.All patients were followed by filling in relevant questionnaires and various examinations.SPSS 24.0 software was used for statistical analysis of the data.Results:1.Epidemiological characteristics of the surveyed subjects:（1）A total of 1613 patients with type 2 diabetes who met the criteria were included in this study,including 1304 with periodontitis and 309 without periodontitis.The prevalence of periodontitis in diabetic patients was 80.8%.（2）There were 957 males（59.3%）and 656 females（40.7%）,with a male to female ratio of 1.46:1.The age distribution ranged from 18 to 93 years old,with an average age of 59.75±12.97 years.The average age of males was 57.90±13.18 years;the average age of females was 62.46±12.18 years.（3）In terms of education level,630 cases（39.1%）were lower than high school,834 cases（51.8%）from high school to junior college,and 149 cases（9.2%）of undergraduate and above;in terms of monthly income,456 cases（28.3%）were less than 2,000 yuan,592 cases（36.7%）of 2000-4000 yuan,366 cases（22.7%）of4001-6000 yuan,and 199 cases（12.3%）of more than 6,000 yuan.（4）381 cases（23.7%）were smoking or had a history of smoking;271 cases（16.8%）had a history of drinking;884 cases（54.8%）were under diet control;1081cases（67.1%）were regular Exercise habit,532 cases（33.0%）never exercised.（5）In terms of daily oral hygiene maintenance,565 cases（35.0%）brushed their teeth≥2 times a day,and 1048 cases（65.0%）brushed their teeth<2 times a day;260cases（65.0%）used other auxiliary tools to clean their teeth.cases（16.1%）;1485cases（92.1%）who never received scaling;1491 cases（92.4%）who never received oral education.（6）The average duration of diabetes mellitus was 7（3,13）years,with 973（60.3%）of 1-10 years,436（27%）of 11-19 years,and 204≥20 years（12.6%）;In terms of body mass index,638 cases（39.6%）were overweight（24kg/m2≤BMI<28kg/m2）,215 cases（13.3%）were obese（BMI≥28kg/m2）;1147cases（71.1%）were dyslipidemia and normal blood lipids 466 cases（28.9%）.（7）There were 776 cases（48.1%）with complications of diabetes;327 cases（20.3%）with family history of diabetes;535 cases（33.2%）with family history of periodontitis,indicating unknown family history of periodontitis 429 cases（26.6%）.（8）397 cases（24.6%）expressed good or very good self-assessment of oral condition,758 cases（47.0%）expressed average,458 cases（28.4%）expressed poor or very poor;There were 160 cases（9.9%）who thought that the bleeding when brushing teeth was normal,and 70 cases（4.3%）said they did not know whether it was normal or not.There were 52 cases（3.2%）who knew that type 2 diabetes was associated with periodontitis.（9）In terms of blood sugar control status,220 cases（13.6%）in the ideal blood sugar control group(Hb A1c<6.5mmol/L),542 cases（33.6%）in the normal blood sugar control group(Hb A1c:6.5%-7.5%),and the poor blood sugar control group(Hb A1c:7.5%-7.5%-8.5%)329 cases（20.4%）,and 522 cases（32.4%）in the poor blood glucose control group(Hb A1c>8.5%).2.Univariate analysis of diabetic periodontitis（1）Gender,age,education level,monthly income,smoking,diet control,BMI,sleep time,family history of periodontitis,mental stress,dyslipidemia,duration of diabetes,blood sugar control status,periodontitis group and non-periodontitis group There were significant differences in brushing frequency,FBG,2h PG,Hb A1c,TG,HDL-C and LDL-C（P<0.05）.（2）There were no significant differences between the periodontitis group and the non-periodontitis group in regular exercise,alcohol consumption,family history of diabetes,assisted cleaning,oral health education,and TC（P>0.05）.3.Multivariate analysis of diabetic periodontitisAge,BMI,duration of diabetes,frequency of tooth brushing,2h PBG,Hb A1c,TG,HDL-C and LDL-C were all independent risk factors for diabetic periodontitis.The older the age,the higher the risk of periodontitis（OR=1.051,95%CI:1.036-1.067）,and the longer the duration of diabetes,the higher the risk of periodontitis（OR=1.106,95%CI:1.072-1.141）,the higher the BMI,the greater the risk of periodontitis（OR=1.064,95%CI:1.016-1.114）.Brushing times less than 2times/day had a higher risk than brushing times≥2 times/day（OR=2.028,95%CI:1.464-2.808）.The higher the Hb A1c,the higher the risk of periodontitis（OR=1.651,95%CI:1.411-1.932）.The survey results also showed that 2h PBG,TG,LDL-C,and HDL-C were also independent risk factors for diabetic periodontitis.Conclusion:The oral hygiene of people with type 2 diabetes is generally poor,the awareness of oral health is lacking,and the rate of reaching the ideal blood sugar control standard is low.There is a gender difference in the prevalence of periodontitis in patients with type 2 diabetes,males are higher than females;The worse the blood sugar control,the higher the risk of periodontitis;In daily clinical diagnosis and treatment,endocrinologists should include oral examinations in routine consultations,strengthen oral hygiene education for people with type 2 diabetes and early detection and early treatment of periodontitis,reduce the occurrence of severe periodontitis,and improve the quality of life of patients.Similarly,the treatment of diabetes is not only to stabilize blood sugar control,but also to pay attention to the management of other systemic diseases,such as periodontal disease. |
PDF Full Text Request