A Periodontal Health and its Impact on Oral Health-Related Quality of Life Among Diabetes Mellitus Patients

Periodontal health impact on diabetes patients' quality of life

  • Nosheen sarwar FPSC Student , Pakistan Institute of Medical Sciences, Islamabad
  • Shehrayar Akhtar Khokhar Associate Professor. Operative dentistry, Pakistan Institute of Medical Sciences, Islamabad
  • Aqsa Waheed FCPS Student , Pakistan Institute of Medical Sciences, Islamabad
  • Minhal . Undergraduate Student BDS , Liaquat College of Medicine and dentistry, Islamabad
Keywords: Periodontal disease, clinical attachment loss, OHIP -14 domain, OHRQoL, Diabetes mellites

Abstract

Objectives: This study aimed to investigate the relationship between periodontal health and oral health-related
quality of life (OHRQoL) in people with diabetes mellitus. The secondary objective was to compare the
OHRQoL between diabetic and non-diabetic individuals.
Methodology: This study was performed at the Department of Operative Dentistry, Pakistan Institute of
Medical Sciences (PIMS), Islamabad from April 2023 to June 2023. The study comprised 80 participants:
40 individuals with diabetes in case group and 40 individuals without the condition taken as control. Clinical
periodontal disease examination was performed at six sites per tooth, to determine clinical attachment loss.
After the examination, the patient was asked to complete self-administered questionnaires covering the OHIP14 domains. To compare the clinical attachment loss between the two cohorts, a chi-square test was employed.
An independent t-test was used to evaluate disparities in OHIP-14 domain scores between the diabetes and
non-diabetes groups.
Results: There were 80 patients, with a mean age of 39.07± 5.96. Among those, 40 had diabetes and the
remaining 40 did not. The majority of participants were women. In contrast to individuals without diabetes,
a significantly higher proportion of those with diabetes exhibited a CAL (Clinical Attachment Loss) of =3mm.
Significant associations between the two groups were observed in OHIP-14 domains such as Impaired
functionality, physical impairment, psychological disability, and social disability, while the remaining domains
showed no significant associations (p>0.001).
Conclusion: This research provided valuable insights into the intricate correlation among diabetes mellitus,
periodontal health, and oral health-related quality of life, underscoring the multifaceted nature of their
interrelation.
Key Words: Clinical attachment, diabetes mellitus, OHIP -14 domain, OHRQoL, periodontal disease

References

Sczepanik FS, Grossi ML, Casati M, Goldberg M, Glogauer M, Fine N, et.al. Periodontitis is an inflammatory disease of oxidative stress: We should treat it that way. Periodontol 2000. 2020;84(1):45-68. doi: 10.1111/prd.12342.

Cicmil S, Mladenoviæ I, Kruniæ J, Ivanoviæ D, Stojanoviæ N. Oral alterations in diabetes mellitus. Balk J Dent Med. 2018;22(1):7-14. DOI:10.2478/bjdm- 2018-0002

Indurkar MS, Maurya AS, Indurkar S. Oral manifestations of diabetes. Clin Diabetes.2016;34(1):54- 7. doi: 10.2337/diaclin.34.1.54.

Anton DM, Martu MA, Maris M, Maftei GA, Sufaru IG, Tatarciuc D et.al. Study on the effects of melatonin on glycemic control and periodontal parameters in patients with type II diabetes mellitus and periodontal disease. Medicina (Kaunas).2021;57(2):140. doi: 10.3390/medicina57020140.

Nascimento GG, Leite FR, Vestergaard P, Scheutz F, Lopez R. Does diabetes increase the risk of periodontitis? A systematic review and meta-regression analysis of longitudinal prospective studies. Acta Diabetol. 2018; 55(7):653-667. doi: 10.1007/s00592-018-1120-4.

Rohani B. Oral manifestations in patients with diabetes mellitus. World J Diabetes.2019;10(9):485-489. doi: 10.4239/wjd.v10.i9.485.

Pãunicã I, Giurgiu M, Dumitriu AS, Pãunicã S, Pantea Stoian AM, Martu MA, et.al. The Bidirectional Relationship between Periodontal Disease and Diabetes Mellitus—A Review. Diagnostics (Basel). 2023; 13(4): 681. doi: 10.3390/diagnostics13040681.

Irani FC, Wassall RR, Preshaw PM. Impact of periodontal status on oral health-related quality of life in patients with and without type 2 diabetes. J Dent.2015;43(5):506-11. doi: 10.1016/j.jdent.2015.03. 001.

Nayak SU, Kamath DG, Pai KK. Periodontal health and its impact on quality of life among type II diabetes mellitus patients. World J. Dent. 2017;8(2):86-9. Doi. 10.5005/jp-journals-10015-1418.

Azogui-Lévy S, Dray-Spira R, Attal S, Hartemann A, Anagnostou F, Azerad J. Factors associated with oral health-related quality of life in patients with diabetes. Aust Dent J. 2018;63(2):163-169. doi: 10.1111/adj. 12577.

Khalifa N, Rahman B, Gaintantzopoulou MD, Al-Amad S, Awad MM. Oral health status and oral health-related quality of life among patients with type 2 diabetes mellitus in the United Arab Emirates: a matched case- control study. Health Qual Life Outcomes. 2020;18(1): 182. doi: 10.1186/s12955-020-01418-9.

James A, Janakiram C, Meghana RV, Kumar VS, Sagarkar AR. Impact of oral conditions on oral health- related quality of life among Indians-a systematic review and Meta-analysis. Health Qual Life Outcomes. 2023; 21(1):102. doi: 10.1186/s12955-023-02170-6.

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): 290-295. DOI: 10.4103/jiaphd.jiaphd_31_20.

Campos LA, Peltomäki T, Marôco J, Campos JA. Use of oral health impact profile-14 (OHIP-14) in different contexts. What is being measured?. Int J Environ Res Public Health.2021;18(24):13412. doi: 10.3390/ijerph 182413412.

Mariotti A, Hefti AF. Defining periodontal health. BMC Oral Health.2015;15 Suppl 1(Suppl 1):S6. doi: 10.1186/ 1472-6831-15-S1-S6.

Lang NP, Bartold PM. Periodontal health. J Periodontol.2018:89 Suppl 1:S9-S16. doi: 10.1002/ JPER.16-0517.

Gomes-Filho IS, Trindade SC, Passos-Soares JD, Figueiredo AC, Vianna M, Hintz AM, et.al. Clinical diagnosis criteria for periodontal disease: an update. J Dent Health Oral Disord Ther. 2018;9(5):354-356.

Polak D, Sanui T, Nishimura F, Shapira L. Diabetes as a risk factor for periodontal disease—plausible mechanisms. Periodontol 2000.2020;83(1):46-58. doi: 10.1111/prd.12298.

Salvi GE, Roccuzzo A, Imber JC, Stähli A, Klinge B, Lang NP. Clinical periodontal diagnosis. Periodontol 2000. 2023.14. doi: 10.1111/prd.12487

Khalifa N, Rahman B, Gaintantzopoulou MD, Al-Amad S, Awad MM. Oral health status and oral health-related quality of life among patients with type 2 diabetes mellitus in the United Arab Emirates: a matched case- control study. Health Qual Life Outcomes. 2020; 18(1): 182. doi: 10.1186/s12955-020-01418-9.

Kakoei, S., Navabi, N., Aghaabbasi, S., Hashemipour, M. A. Oral health related quality of life in patients with diabetes mellitus type 2 in the year 2012. J Oral Health and Oral Epidemiol. 2016; 5(4): 186-191.

Hsu YJ, Lin KD, Chen JH, Lee MY, Lin YC, Yen FC, et.al. Periodontal treatment experience associated with oral health-related quality of life in patients with poor glycemic control in type 2 diabetes: A case-control study. Int J Environ Res Public Health.2019;16(20):4011. doi: 10.3390/ijerph16204011.

Verhulst MJ, Teeuw WJ, Gerdes VE, Loos BG. Selfreported oral health and quality of life in patients with type 2 diabetes mellitus in primary care: a multi-center cross-sectional study. Diabetes Metab Syndr Obes. 2019:12:883-899. doi: 10.2147/DMSO.S207087.

Pakize F, Mehryari M, Haji Mirza Mohammad M, Bijani A, Hosseini SR, Motalebnejad M, et.al. Evaluation of oral health-related quality of life in elderly people with type ii diabetes mellitus. Iran J Health Sci. 2020;8(3): 10-20. 10.18502/jhs.v8i3.4308.

Ahmad R, Haque M. Oral health messiers: Diabetes mellitus relevance. Diabetes Metab Syndr Obes. 2021; 14:3001-3015. doi: 10.2147/DMSO.S318972.

Jain A, Tangade P, Singh V, Yadav P, Yadav J. Comparative evaluation of audio-visual and verbal education method on OHRQoL, dental anxiety, dental neglect of diabetes mellitus patients attending a teaching hospital in India. Indian J Dent Res.2021;32(3):354- 361. doi: 10.4103/ijdr.ijdr_822_21.

Published
2024-07-03
How to Cite
sarwar, N., Khokhar, S., Waheed, A., & ., M. (2024). A Periodontal Health and its Impact on Oral Health-Related Quality of Life Among Diabetes Mellitus Patients. Annals of Jinnah Sindh Medical University, 10(1), 12-17. https://doi.org/10.46663/ajsmu.v10i1.12-17
Section
Original Articles