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口衛三李沅軒研究成果”A Multi-center Study of the Relationship between Periodontal Disease Experience and Oral Health Quality of Life in Type 2 Diabetic Patients”投稿被2017美國口腔健康研討會(National Oral Health Conference)接受,預計4月21號前往美國分享研究成果

李沅軒分析高醫附設醫院、小港醫院及台南奇美醫院共348名第二型糖尿病患者並患有牙周疾病和其口腔生活品質間的相關性,經統計分析之後,患有牙周疾病的糖尿病患者在''功能限制、生理疼痛及心理上的不舒適''三大類別裡有較高的分數,也就是說大數的糖尿病患者患有牙周疾病時其口腔生活品質並不是很好,所以我們建議患者應多接觸口腔方面的照護以及提升牙科拜訪來增加其生活品質。

NOHC摘要內容:

A Multi-center Study of the Relationship between Periodontal Disease Experience and Oral Health Quality of Life in Type 2 Diabetic Patients.

Lee, YX(李沅軒)1; Hsu, YJ(許原榕)2; Lin, YC(林盈諄)1, Huang, HL(黃曉靈)1

1 Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University

2 School of Dentistry, College of Dental Medicine, Kaohsiung Medical University

Abstract

Objective:

There is a clear relationship between degree of hyperglycaemia and periodontitis. The aim of the study was to assess the relationship between periodontal disease and oral health-related quality of life (OHQoL) in type 2 diabetic patients.

Method:

We used a multicenter cross-sectional study. Overall, 491 type 2 diabetic patients were recruited. Patients with type I diabetes, routine use of antibiotics and bisphosphonates, completely edentulous and cancer history were excluded. A face-to-face interview was used to collect the data by a structured questionnaire. The OHQoL was measured using the Oral Health Impact Profile-14 (OHIP-14T). The experience of periodontal disease was assessed with one question “Have you ever been diagnosed with periodontal disease by dentists?” The multivariate linear regression models analyzed the relationship between periodontal disease experiences and level of OHIP.

Result:

Overall 53% of diabetic patients had history of periodontal disease. After adjusted for age, gender, duration of diabetes and education level, patients with periodontal disease experience were associated with level of OHIP (β=2.01, 95% CI 0.82 - 3.20). To further assessed with each dimension of OHIP scale, the patients with periodontal disease had significantly higher scores in three dimensions of the OHIP, including functional limitation (β=0.36), physical pain (β=0.45) and psychological discomfort (β=0.70).

Conclusion:

Diabetic patients with experience of periodontal disease showed a poorer OHQoL, in which the psychological discomfort of OHIP the most significant. We suggest that diabetic patients with periodontal disease access to proper dental care and frequent dental visits to improve their OHQoL.

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