Awareness and practice of oral complications due to diabetes mellitus among diabetes patients at Chengalpattu district, India: A cross-sectional study

Document Type : Original Article

Authors

1 Bharath Institute of Higher Education [BIHER], Chennai, India

2 Department of Public Health Dentistry, Karpaga Vinayaga Institute of Dental Sciences, Chengalpattu, Tamil Nadu, India

3 Department of Biochemistry, Balaji Dental College & Hospital, Chennai, Tamil Nadu, India

4 Department of Oral and Maxillo-Facial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Chengalpattu, Tamil Nadu, India

5 Department of Oral Medicine & Radiology, Tamilnadu Dental College& Hospital, Chennai, India

Abstract

Background: There is a sound pathophysiological framework for addressing oral health issues in general healthcare given the prevalence of oral diseases and their link to diabetes. However, many individuals with diabetes are unaware of the link between their disease and their oral condition, as well as the fact that they have a higher chance of experiencing a variety of difficulties with their oral health. The goal of this research was to assess the knowledge about oral complications due to diabetes mellitus among diabetes patients in Chengalpattu district, India.
Methods: A cross-sectional study including 470 diabetes patients was carried out over a period of 4 months from February to May 2022. Descriptive statistics and multivariate logistic regression analyses were performed using the Statistical Package for the Social Sciences (SPSS) version 21. P < 0.05 was considered statistically significant.
Results: Many of the study subjects were not aware of the relationship between oral problems and diabetes. The knowledge about oral complications of diabetes was limited to awareness about dental caries (28.9%), periodontal disease (35.1%), xerostomia (51.8%), oral candidiasis (15.7%), and oral cancer (9.6%). Education and the duration of time after a diabetes diagnosis were the two most crucial predictors of awareness of the complications.
Conclusion: Regarding the oral problems of diabetes, there is a dearth of knowledge, and this agreement is primarily associated with education and the duration of time from diabetes diagnosis.

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  1. Sadeghi R, Taleghani F, Farhadi S. Oral health related quality of life in diabetic patients. J Dent Res Dent Clin Dent Prospects. 2014;8(4):230-4. doi: 10.5681/joddd.2014.41.
  2. Eldarrat AH. Diabetic patients: their knowledge and perception of oral health. Libyan J Med. 2011;6. doi: 10.3402/ljm.v6i0.5691.
  3. GBD 2017 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1859-922. doi: 10.1016/s0140-6736(18)32335-3.
  4. Jayan L, Ramesh Kumar A, Ramya R, Srivastav M. Awareness of oral complications of diabetes mellitus in diabetes patients: a questionnaire study. Indian J Public Health Res Dev. 2020;11(3):179-83. doi: 10.37506/ijphrd.v11i3.737.
  5. International Diabetes Federation (IDF). IDF Diabetes Atlas. 9th ed. Brussels, Belgium: IDF; 2019.
  6. Ravindranath NS, Raju R. Association of oral health status and oral health-related quality of life among adult patients with type 2 diabetes mellitus: a cross-sectional study. J Indian Assoc Public Health Dent. 2020;18(4):290-5. doi: 10.4103/jiaphd.jiaphd_31_20.
  7. Rawal I, Ghosh S, Hameed SS, Shivashankar R, Ajay VS, Patel SA, et al. Association between poor oral health and diabetes among Indian adult population: potential for integration with NCDs. BMC Oral Health. 2019;19(1):191. doi: 10.1186/s12903-019-0884-4.
  8. Olokoba AB, Obateru OA, Olokoba LB. Type 2 diabetes mellitus: a review of current trends. Oman Med J. 2012;27(4):269-73. doi: 10.5001/omj.2012.68.
  9. Bowyer V, Sutcliffe P, Ireland R, Lindenmeyer A, Gadsby R, Graveney M, et al. Oral health awareness in adult patients with diabetes: a questionnaire study. Br Dent J. 2011;211(6):E12. doi: 10.1038/sj.bdj.2011.769.
  10. Poudel P, Griffiths R, Wong VW, Arora A, Flack JR, Khoo CL, et al. Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review. BMC Public Health. 2018;18(1):577. doi: 10.1186/s12889-018-5485-7.
  11. Paurobally N, Kruger E, Tennant M. Awareness about the oral and systemic complications of diabetes among a cohort of diabetic patients of the Republic of Mauritius. Int Dent J. 2021;71(5):438-48. doi: 10.1016/j.identj.2020.12.019.
  12. D’Aiuto F, Gable D, Syed Z, Allen Y, Wanyonyi KL, White S, et al. Evidence summary: the relationship between oral diseases and diabetes. Br Dent J. 2017;222(12):944-8. doi: 10.1038/sj.bdj.2017.544.
  13. Graziani F, Gennai S, Solini A, Petrini M. A systematic review and meta-analysis of epidemiologic observational evidence on the effect of periodontitis on diabetes an update of the EFP-AAP review. J Clin Periodontol. 2018;45(2):167-87. doi: 10.1111/jcpe.12837.
  14. Lessa LS, Simões Pires PD, Ceretta RA, Becker IR, Ceretta LB, Tuon L, et al. Meta-analysis of prevalence of xerostomia in diabetes mellitus. Int Arch Med. 2015;8(224):1-13. doi: 10.3823/1823.
  15. Manfredi M, McCullough MJ, Vescovi P, Al-Kaarawi ZM, Porter SR. Update on diabetes mellitus and related oral diseases. Oral Dis. 2004;10(4):187-200. doi: 10.1111/j.1601-0825.2004.01019.x.
  16. Remschmidt B, Pau M, Gaessler J, Zemann W, Jakse N, Payer M, et al. Diabetes mellitus and oral cancer: a retrospective study from Austria. Anticancer Res. 2022;42(4):1899-903. doi: 10.21873/anticanres.15666.
  17. Bahammam MA. Periodontal health and diabetes awareness among Saudi diabetes patients. Patient Prefer Adherence. 2015;9:225-33. doi: 10.2147/ppa.s79543.