Generic placeholder image

Current Diabetes Reviews


ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Research Article

Knowledge and Awareness of Oral Manifestations of Diabetes Mellitus and Oral Health Assessment among Diabetes Mellitus Patients- A Cross Sectional Study

Author(s): Mayank Kumar Parakh*, Anand Kasi, Vignesh Ayyappan and Prabhu Subramani

Volume 16, Issue 2, 2020

Page: [156 - 164] Pages: 9

DOI: 10.2174/1573399815666190502112603

Price: $65


Background and Objectives: Diabetes mellitus has increased rapidly throughout the world. The objectives of our study were to assess the knowledge and awareness about oral manifestations of diabetes, among type 2 diabetes mellitus patients, their risk for developing oral diseases due to complications associated with diabetes mellitus, and at same time, to perform an oral examination to detect these oral symptoms, if present any, along with the recording of Decayed Missing Filled Teeth Index (DMFT) and Community Periodontal Index (CPI) index.

Methodology: Structured questionnaires consisting of 12 different statements on the knowledge base of oral manifestations of diabetes mellitus were distributed to 447 Type 2 diabetes mellitus patients. Following this oral examination, brushing and dental visit history were noted, and CPI index and DMFT indices were recorded in all the patients.

Results: Results showed that the knowledge about oral manifestations of diabetes mellitus was poor with a mean value of 4.92 out of a possible score of 12. Among the study subjects, the average score of men was 4.42 while that of females, was 5.41. These scores, when subjected to statistical analysis, were highly significant. (P value- 0.005) Subjects also showed significantly high DMFT (P value <0.001) and CPI scores (P value- 0.270).

Conclusion: Our study concluded that there is a significant lack of knowledge about oral manifestations of diabetes mellitus among patients and hence steps have to be taken to increase their awareness through various outreach programs. All health professionals need to work together for promoting better oral health so that oral complications of diabetes can be brought under control.

Keywords: Knowledge, oral health, diabetes mellitus, index, diabetics, dental.

Smyth S, Heron A. Diabetes and obesity: the twin epidemics. Nat Med 2006; 12(1): 75-80.
[] [PMID: 16397575]
International Diabetes Federation. IDF Diabetes Atlas. 8th ed. Brussels, Belgium: International Diabetes Federation . 2017.
Geiss LS, Wang J, Cheng YJ, et al. Prevalence and incidence trends for diagnosed diabetes among adults aged 20 to 79 years, United States, 1980-2012. JAMA 2014; 312(12): 1218-26.
[] [PMID: 25247518]
Ferizi L, Dragidella F, Spahiu L, Begzati A, Kotori V. the influence of type 1 diabetes mellitus on dental caries and salivary composition. Int J Dent 2018.20185780916
[] [PMID: 30369949]
Bartolucci EG, Parkes RB. Accelerated periodontal breakdown in uncontrolled diabetes. Pathogenesis and treatment. Oral Surg Oral Med Oral Pathol 1981; 52(4): 387-90.
[] [PMID: 6946361]
Preshaw PM, Alba AL, Herrera D, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia 2012; 55(1): 21-31.
[] [PMID: 22057194]
Oberoi SS, Mohanty V, Mahajan A, Oberoi A. Evaluating awareness regarding oral hygiene practices and exploring gender differences among patients attending for oral prophylaxis. J Indian Soc Periodontol 2014; 18(3): 369-74.
[] [PMID: 25024553]
World Health Organization Oral Health Surveys – Basic Methods. 3rd ed. Berlin: Springer 1987.
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J 1982; 32(3): 281-91.
[PMID: 6958657]
Oberoi SS. Updating income ranges for Kuppuswamy’s socio-economic status scale for the year 2014. Indian J Public Health 2015; 59(2): 156-7.
[] [PMID: 26021657]
Staden V, Deutshmann LP, Ganas S, et al. Knowledge of diabetes mellitus and its ocular complications amongst diabetic patients attending private and public hospitals in eThekwini Municipality, KwaZulu-Natal province, South Africa. Afr Vision Eye Health 2015; 74: 36-41.
Vankudre AJ, Padhyegurjar MS, Jennifer HG, Padhyegurjar SB. A study to assess awareness regarding Diabetes Mellitus and factors affecting it, in a tertiary care hospital in Kancheepurum District. Healthline (Bhavnagar) 2013; 4: 44-9.
Dhandapani C, Arulkumaran KSG, Vijayakumar A, et al. A study on oral health behaviour, knowledge and its complications in diabetic population. IJPPR Human 2016; 6: 103-13.
Akyuz S, Yarat A, Bayer H, Ipbuker A. Diabetic patient’s knowledge level on oral health and habits. Oral Health Dent Manag 2004; 3: 11-4.
Preetha P. Kanjirath, Seung Eun Kim, Marita Rohr Inglehart, Phil. Habil. Diabetes and Oral Health: The Importance of Oral Health–Related Behavior. J Dent Hyg 2011; 85: 264-72.
Parakh MK, Ashifa N, Jagannath G, Subramani P. Oral health assessment among allied health science students –A cross sectional study. Int J of Allied Med Sci and Clin Res 2017; 5(2): 422-5.
Ahad M, Gheena S. Awareness of tooth brushing techniques and proper oral hygiene among school children. J Pharm Sci Res 2015; 7: 367-72.
Jomin G, Sridevi G, Pearson C. Knowledge and awareness of diabetes mellitus: A case study of a large private university in Botswana. Eur J Logistics Purchasing Supply Chain Manag 2015; 3: 40-57.
Aziza H. Eldarrat. Diabetic patients: their knowledge and perception of oral health. Libyan J Med 2011; 6: 5691-7.
Gulabani M, John M, Isaac R. Knowledge of diabetes, its treatment and complications amongst diabetic patients in a tertiary care hospital. Indian J Community Med 2008; 33(3): 204-6.
[] [PMID: 19876488]
Imran A, Parakh MK, Kumar SM, Nachiammai N, Sriram K. Periodontal health status and implication of periodic acid-Schiff diastase - a key in exfoliative cytology among diabetics mellitus patients: A case-control study. Eur J Dent 2016; 10(4): 475-9.
[] [PMID: 28042261]
Kim EK, Lee SG, Choi YH, et al. Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus. BMC Oral Health 2013; 13: 64.
[] [PMID: 24195646]
Radhika T, Ranganathan K. Periodontal health in type 2 diabetics. J NTR Univ Health Sci 2014; 3: S37-42.
Popławska-Kita A, Siewko K, Szpak P, Król B, Telejko B, Klimiuk PA. Relationship between type 2 diabetes and periodontal disease. Prog Health Sci 2013; 3: 137-44.
Hong M, Kim HY, Seok H, et al. Prevalence and risk factors of periodontitis among adults with or without diabetes mellitus. Korean J Intern Med (Korean Assoc Intern Med) 2016; 31(5): 910-9.
[] [PMID: 27604799]
Albrecht M, Bánóczy J, Tamás G Jr. Dental and oral symptoms of diabetes mellitus. Community Dent Oral Epidemiol 1988; 16(6): 378-80.
[] [PMID: 3203498]
Sukminingrum N, Ishak I, Masudi SM, Alam MK. Comparison of Decayed, Missing or Filled Teeth (DMFT) indexes between diabetic and non-diabetic patients. Int Med J 2003; 20: 443-5.
Mocherla M, Reddy PP, Anjum S, Rao KY, Abbas I, Priya FK. Assessment of oral health status and self-perceived oral health in diabetic patients attending a Dental College in Vikarabad – Telangana. Univ Res J Dent 2016; 6: 29-33.
Malvania EA, Sheth SA, Sharma AS, Mansuri S, Shaikh F, Sahani S. Dental caries prevalence among type II diabetic and nondiabetic adults attending a hospital. J Int Soc Prev Community Dent 2016; 6(Suppl. 3): S232-6.
[] [PMID: 28217542]
Singh I, Singh P, Singh A, Singh T, Kour R. Diabetes an inducing factor for dental caries: A case control analysis in Jammu. J Int Soc Prev Community Dent 2016; 6(2): 125-9.
[] [PMID: 27114951]
Seethalakshmi C, Reddy RC, Asifa N, Prabhu S. Correlation of salivary pH, incidence of dental caries and periodontal status in diabetes mellitus patients: a cross-sectional study. J Clin Diagn Res 2016; 10(3): ZC12-4.
[] [PMID: 27134992]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy