일부 당뇨병 환자의 구강관리 실태와 그 연관요인
Oral care status and its related factor in diabetic patients
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Objectives : This study conducted to investigate oral care abilities in diabetic patients to find a good dental method which may efficiently control diabetes. Methods : The diabetic group consisted of 40 patients with type 2 diabetics, while the non-diabetes were 33 persons with no signs of diabetics, who had visited a Public Health Center and dental clinic of a general hospital in Gwangju city from Dec. 2008 to Sep. 2009. Periodontal disease, gingivitis, dental caries, tongue plaque and halitosis between diabetic group and non-diabetic group were examined and at the same time a questionnaire survey was conducted. The data were analyzed with chi-square, t-test, pearson correlation coefficients using the SPSS WIN 15.0 program. Results : The mean values of both the community periodontal index and the gingival index of diabetic group were 2.18 and 1.75, respectively, and those were higher than those (1.79 and 1.50) of non-diabetic group with no statistical significance. The mean saliva secretion of non-diabetics was 16.74 mL, which was higher than 13.90 mL of diabetic patients(p<0.05). The oral care ability(mean 3.10) acquired from plague index in diabetic group was worse than in non-diabetic(mean 2.33). Conclusions : The high blood sugar concentration in diabetic patients causes low saliva secretion and high saliva viscosity, with the results halitosis and periodontal disease take place. This study suggested that good oral care ability of diabetic patients was very helpful to prevent periodontal disease and halitosis. In addition to this, it may reduce complications of diabetic patients.
Abstract
Objectives : This study conducted to investigate oral care abilities in diabetic patients to find a good dental method which may efficiently control diabetes. Methods : The diabetic group consisted of 40 patients with type 2 diabetics, while the non-diabetes were 33 persons with no signs of diabetics, who had visited a Public Health Center and dental clinic of a general hospital in Gwangju city from Dec. 2008 to Sep. 2009. Periodontal disease, gingivitis, dental caries, tongue plaque and halitosis between diabetic group and non-diabetic group were examined and at the same time a questionnaire survey was conducted. The data were analyzed with chi-square, t-test, pearson correlation coefficients using the SPSS WIN 15.0 program. Results : The mean values of both the community periodontal index and the gingival index of diabetic group were 2.18 and 1.75, respectively, and those were higher than those (1.79 and 1.50) of non-diabetic group with no statistical significance. The mean saliva secretion of non-diabetics was 16.74 mL, which was higher than 13.90 mL of diabetic patients(p<0.05). The oral care ability(mean 3.10) acquired from plague index in diabetic group was worse than in non-diabetic(mean 2.33). Conclusions : The high blood sugar concentration in diabetic patients causes low saliva secretion and high saliva viscosity, with the results halitosis and periodontal disease take place. This study suggested that good oral care ability of diabetic patients was very helpful to prevent periodontal disease and halitosis. In addition to this, it may reduce complications of diabetic patients.
참고문헌 (28)
- Swedberg Y, "Analysis of caries status development in relation to socioeconomic variables using a case-based system", Swed Dent, 25, pp.81~88 (2001)
- 건강보험심사평가원, "2008년 진료비 통계지표", ~ (2008)
- Muacevic-Katanec D, "Most common dental and oral diseases in diabetic patients", Diabetologia Croatica, 27, pp.1~10 (1998)
- 최상희, "당뇨 환자에서 지속적인 구강건강관리의 효과", 석사, pp.2007
- Shibasaki T, "당뇨병과 치과질환의 관계에 대해서 in The Quintessence", pp.5~79 (2000)
- Christgau M, "Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: clinical, microbiological, and immunologic results", J Clin Periodontol, 25, pp.112~124 (1998)
- Bollen CM, "Halitosis: a multidisciplinary problem", Rev Med Liege, 54, pp.32~36 (1999)
- Ratcliff R, "Current Concepts in the Causes and Treatment of Halitosis", Practical Hygiene, pp.47~50 (1997)
- Fact file on Bad Breath, "The British Dental Association", ~ (1996)
- Tonzetish J, "Production and origin of oral malodor, a review of mechanical and methods of analysis", J Periodontol, 48, pp.13~20 (1997)
- Berg M, "Studies in periodontal disease. II. Putrefactiveorganisms in the mouth", J Dent Res, 25, pp.73~81 (1946)
- Howe JW, "The breath and the diseases which give it a fetid odor. 4th Ed" (1898), D. Appleton and Co
- McNamara TF, "The role of microorganisms in the production of oral malodor", Oral Surg, 34, pp.41~48 (1972)
- Wale SM, "On the transformation of sulfurcontaining amino acids and peptides to volatile sulfur compounds (VSC) in the human mouth", Eur J Oral Sci, pp.534~537 (1997)
- Oliver RC, "Periodontitis and tooth loss: comparing diabetics with the general population", JADA, pp.124~171 (1993)
- 장기완, "구강건강 조사서", pp.45~65 (2000), 고문사
- 국민 구강건강 실태 조사, , 26~29 (2006)
- 임선아, "지역 사회 구강보건 정책제안을 위한 광주 전남 구강보건 실태조사결과", 석사, pp.2000
- Ervasti T, "Relation between control of diabetes and gingival bleeding", J Periodontol, 56, pp.154~157 (1985)
- McNamara TF, "The role of microorganism in the production of oral maloder", Oral Surg Oral Med Pathol, 34, pp.41~48 (1972)
- Tonzetish J, "Production and origin of oral malodor: a review of mechanism and methods of analysis", J Periodontol, 48, pp.13~20 (1977)
- Yaegaki K, "Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease", J Periodont Res, 27, pp.233~238 (1992)
- Persson S, "The formation of hydrogen Sulfide and methylmercaptan by oral bacteria", Oral Microbiol Immunol, 5, pp.195~201 (1990)
- Rosenberg M, "Bad breath: diagnosis and treatment", U Toronto Dent J, 3, pp.7~11 (1990)
- De Boever EH, "Assessing the contribution of anaerobic microflora of the tongue to oral malodor", J Am Dent Assoc, 126(10), pp.1384~1393 (1995)
- Rosenberg M, "Reproducibility and sensitivity of oral malodor measurements with a portable sulfide monitor", J Dent Res, 70, pp.1436~1440 (1991)
- 김종배, "임상예방치과학. 제3판", pp.31~39 (2000), 고문사
- Loe H, "Periodontal disease in pregnancy. I. Prevalence and severity", Acta Odontol Scand, 21, pp.531~533 (1963)