|
|
Investigation on the prevalence and awareness of periodontal disease in diabetic patients from Fangzhuang Community in Beijing |
GE Shaokun GAO Ronghuan▲ |
Department of Stomatology, Fangzhuang Community Health Service Center of Fengtai District in Beijing, Beijing 100078, China |
|
|
Abstract Objective To investigate the prevalence of periodontal disease and the awareness of periodontal disease in diabetic patients from Fangzhuang Community of Fengtai District in Beijing, in order to provide theoretical basis for the management of diabetes patients in future for dentists and general practitioners jointly, and also enrich the health management of diabetic patients and the connotation of family doctor service, improve the efficiency of management. Methods 1005 diabetic patients signed with Fangzhuang Community Health Service Center were selected from February 2015 to February 2016. The study was divieded into two parts: ①questionnaire was designed to investigate the oral health habits, blood sugar level and cognition of periodontal disease; ②the oral examination was operated and the data were collected to understand the periodontal health status of the diabetic population in Fangzhuang Community. Results The prevalence of periodontal disease was high in Fangzhuang Community that was shown by the detection rate of shallow periodontal pocket and deep periodontal pockets was 32.3% and 53.6% respectively. Diabetic patients had low awareness of periodontal disease, only 32.7% participants knew that diabetic patients could lead to the higher risk of periodontal disease, and only 13.6% subjects knew that periodontal disease poorly controlled would lead to impaired glycemic control. Conclusion Diabetic patients in Fangzhuang Community have high prevalence of periodontal disease and low awareness. Dentists and general practitioners should strengthen the oral health education to improve the awareness of periodontitis in diabetic patients.
|
|
|
|
|
[1] 孟焕新.牙周病学[M].4版.北京:人民卫生出版社,2012.
[2] Taylor GW,Borgnakke WS. Periodontal disease:associations with diabetes,glycemic control and complications [J]. Oral Dis,2008,14(3):191-203.
[3] Xu Y,Wang LM,He J,et al. Prevalence and control of diabetes in Chinese adults [J]. JAMA,2013,310(9):948-959.
[4] Loe H.Periodontal disease.The sixth complication of diabetes Mellitus [J]. Diabetes Care,1993,16(1):329-334.
[5] 李增祥.426例中老年人牙周病患者并发糖尿病的相关性研究[J].当代医学,2011,17(2):99-100.
[6] World Health Organization. Oral Health Surveys,Basis Methods [R]. Geneva:World Health Organization,1998.
[7] Bourgeois DM,Llodra JC. European Global Oral Health Indicators Development Project. 2003 Report Proceeding [R]. Chocago:Quintessence,2004.
[8] Liu R,Bal HS,Desta T,et al. Diabetes enhances periodontal bone loss through enhanced resportion and diminished bone formation [J]. J Dent Res,2006,85(6):510-514.
[9] 张代杰,赵先芝,杨学馨.糖尿病与牙周病临床相互关系的初步研究[J].牙体牙髓牙周病学杂志,2004,14(10):571-574.
[10] Lu HK,Yang PC. Cross-sectional analysis of different variables of patients with non-insulin dependent diabetes and their periodontal status [J]. Int J Periodontics Restorative Dent,2004,24(1):71-79.
[11] He HB,Liu RK,Desta TF,et al. Diabetes causes decreased osteoclastogenesis,educed bone formation,and enhanced apoptosis of osteoblastic cells in bacteria stimulated bone loss [J]. Endocrinology,2004,145(2):447-452.
[12] 王琳源,高秀秋.糖尿病与牙周病关系的研究进展[J].医学研究杂志,2008,37(7):97-98.
[13] 黄青,高津福,王雅南,等.糖尿病与牙周病相关性的流行病学调查[J].牙体牙髓牙周病学杂志,2006,16(12):698-702.
[14] 齐小秋,张博学.第三次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2008.
[15] Corbet EF,Leung WK. Epidemiology of periodontitis the Asia and Oceania region [J]. Periodontal,2011,56(1):25-64.
[16] 胡祥文,周仁,李萍,等.糖尿病患者口腔疾病的流行病学调查[J].口腔医学,2007,27(3):162-163.
[17] 刘侠,王剑,牛国卫,等.社区牙周指数综合评价体健人群牙周炎的多因素相关性[J].现代口腔医学杂志,2010, 24(1):31-33.
[18] Petersen PE. The World Oral Health Report 2003:Continuous improvement of oral health in the 21th century-the approach of the WHO Global Oral Health Programme [J]. Community Dent Oral Epidemiol,2003,31(Suppl 1):3-23.
[19] 古成璠,刘雪琴.老年糖尿病患者口腔健康研究进展[J].护理学杂志,2010,25(11):94-96.
[20] 郑晓栋.社区2型糖尿病老年患者牙周病干预模式探索[J].上海医药,2014,35(4):55-57.
[21] 吴永慧.对社区糖尿病合并牙周病患者实施口腔卫生保健行为干预的随访研究[J].中国医药指南,2011,9(28):278-280.
[22] Bissett SM,Stone KM,Rapley T,et al. An exploratory qualitative interview study about collaboration between medicine and dentistry in relation to diabetes management [J]. BMJ Open,2013,3(2):57-60. |
|
|
|