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Titolo:
Type 1 diabetes mellitus and oral health: assessment of coronal and root caries
Autore:
Moore, PA; Weyant, RJ; Etzel, KR; Guggenheimer, J; Mongelluzzo, MB; Myers, DE; Rossie, K; Hubar, H; Block, HM; Orchard, T;
Indirizzi:
Univ Pittsburgh, Sch Dent Med, Dept Child Dent Hlth, Pittsburgh, PA 15261 USA Univ Pittsburgh Pittsburgh PA USA 15261 nt Hlth, Pittsburgh, PA 15261 USA Univ Pittsburgh, Sch Dent Med, Dept Microbiol Biochem, Pittsburgh, PA 15261 USA Univ Pittsburgh Pittsburgh PA USA 15261 Biochem, Pittsburgh, PA 15261 USA Univ Pittsburgh, Sch Dent Med, Dept Oral Med & Pathol, Pittsburgh, PA 15261 USA Univ Pittsburgh Pittsburgh PA USA 15261 Pathol, Pittsburgh, PA 15261 USA Univ Pittsburgh, Grad Sch Publ Hlth, Dept Epidemiol, Pittsburgh, PA 15261 USA Univ Pittsburgh Pittsburgh PA USA 15261 idemiol, Pittsburgh, PA 15261 USA
Titolo Testata:
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY
fascicolo: 3, volume: 29, anno: 2001,
pagine: 183 - 194
SICI:
0301-5661(200106)29:3<183:T1DMAO>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
PITTSBURGH EPIDEMIOLOGY; PERIODONTAL-DISEASE; CIGARETTE-SMOKING; DENTAL STATUS; PREVALENCE; XEROSTOMIA; COMPLICATIONS; SYMPTOMS; CHILDREN; IDDM;
Keywords:
Type 1 diabetes mellitus; coronal caries; root caries; missing teeth; oral health; nephropathy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Moore, PA Univ Pittsburgh, Sch Dent Med, Dept Child Dent Hlth, 380 Salk Hall, Pittsburgh, PA 15261 USA Univ Pittsburgh 380 Salk Hall Pittsburgh PA USA 15261 15261 USA
Citazione:
P.A. Moore et al., "Type 1 diabetes mellitus and oral health: assessment of coronal and root caries", COMM DEN OR, 29(3), 2001, pp. 183-194

Abstract

Objectives: The oral health of a large cohort of adult insulin-dependent diabetic patients (Type 1), diagnosed 24 years previously with juvenile onset, was comprehensively assessed. This paper describes the prevalence of coronal and root caries in this adult Type 1 diabetic population and evaluatesdemographic, dietary, behavioral, physiologic, salivary and medical variables associated with decayed and filled surfaces in the crown (DFS) or root (RDFS). Methods: Type 1 diabetes mellitus subjects participating in this oral health evaluation had been monitored for 6-8 years as participants in the University of Pittsburgh, Department of Epidemiology, longitudinal study of medical complications associated with diabetes. Four hundred and six diabetic subjects received a comprehensive oral health examination during one of their regularly scheduled medical visits. Oral assessments included coronal and root caries, missing teeth, edentulism, periodontal status, soft tissue pathologies, salivary function and health behaviors. Sixteen diabetic subjects and one control subject were edentulous. Coronal and root caries data from the remaining 390 dentate diabetic subjects were compared with 202dentate nondiabetic control subjects. Results: The adult Type 1 diabetic subjects were not found to have significantly higher DFS rates as compared with our control subjects or published age-adjusted NHANES III findings. Both control and diabetic subjects had low decayed to filled tooth surface ratios. A linear regression model evaluated possible associations with coronaldecayed and filled tooth surfaces (DFS) within the diabetic population. Significant factors included older age, women, fewer missing teeth, more frequent use of dental floss, more frequent visits to the dentist during the last 12 months, and diabetic nephropathy. The prevalence of RDFS was higher in the diabetic subjects as compared to recruited control subjects. Neither dietary behaviors nor glycemic control were found to contribute to coronal or root caries. Conclusions: Factors associated with presence of coronal and root caries and fillings are discussed. Possible causes and implications for the association between DFS and diabetic nephropathy are provided.

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Documento generato il 28/11/20 alle ore 11:57:03