2型糖尿病的口腔健康差异:检查牙变风险的增加 - - 一项比较研究
José Frias-Bulhosa1,2, Maria Conceição Manso2,3,4, Carla Lopes Mota5
1Faculty of Dental Medicine, University of Porto, 4200-393 Porto, Portugal.
Dentistry journal
|June 25, 2025
概括
患有2型糖尿病和没有2型糖尿病的成年人中,牙损的患病率相似,但糖尿病人更容易失去牙. 糖尿病患者体质指数较高可能会增加牙损伤风险,独立于血糖控制.
科学领域:
- 口腔健康 口腔健康
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 牙 (DCs) 和2型糖尿病 (T2DM) 具有共同的风险因素,但现有的关于T2DM牙风险的研究产生了相互矛盾的结果.
- 了解T2DM,体重指数 (BMI) 和牙损伤之间的关系对于全面的患者护理至关重要.
研究的目的:
- 调查T2DM和没有T2DM的成年人之间牙损伤患病率的差异.
- 评估体质指数 (BMI) 类和糖化血红蛋白 (HbA1c) 水平对T2DM患者脏病发病率的影响.
主要方法:
- 一项涉及666名成人 (343人患有T2DM,323人没有) 的横截面研究,来自初级医疗保健中心.
- 数据收集包括采访,临床记录和使用世卫组织标准评估口腔健康状况.
- 使用非参数测试进行统计分析 (显著性水平α = 0.05).
主要成果:
- 在两组中,脏病的发病率高且相似 (T2DM:98.2%,非T2DM:98.8%).
- 与非T2DM患者相比,T2DM患者表现出明显更高的牙损失 (p < 0.001),更大的牙损伤 (17.7 ± 8.3 与 15.9 ± 7.8 相比,p = 0.005),以及较少的腐烂/填充牙.
- 较高的BMI类在T2DM组中明显更普遍 (p < 0.001),而HbA1c水平与DMFT分数没有显著相关.
结论:
- 患有T2DM的成年人,特别是那些BMI较高的人,可能面临牙变的风险增加.
- 通过HbA1c测量的血糖控制似乎不会显著影响T2DM患者的整体皮经历 (DMFT).
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