TY - JOUR
T1 - A large-scale observational study to investigate the current status of diabetic complications and their prevention in Japan
T2 - Oral and dental findings at baseline -JDCP study 6-
AU - Inagaki, Koji
AU - Kikuchi, Takeshi
AU - Noguchi, Toshihide
AU - Mitani, Akio
AU - Naruse, Keiko
AU - Matsubara, Tatsuaki
AU - Kawanami, Masamitsu
AU - Negishi, Jun
AU - Furuichi, Yasushi
AU - Nemoto, Eiji
AU - Yamada, Satoru
AU - Yoshie, Hiromasa
AU - Tabeta, Koichi
AU - Tomita, Sachiyo
AU - Saito, Atsushi
AU - Katagiri, Sayaka
AU - Izumi, Yuichi
AU - Nitta, Hiroshi
AU - Iwata, Takanori
AU - Numabe, Yukihiro
AU - Yamamoto, Matsuo
AU - Yoshinari, Nobuo
AU - Fujita, Tsuyoshi
AU - Kurihara, Hidemi
AU - Nishimura, Fusanori
AU - Nagata, Toshihiko
AU - Yumoto, Hiromichi
AU - Naito, Toru
AU - Noguchi, Kazuyuki
AU - Ito, Koichi
AU - Murakami, Shinya
AU - Nishimura, Rimei
AU - Tajima, Naoko
N1 - Publisher Copyright:
© 2020 Japan Diabetes Society. All rights reserved.
PY - 2020
Y1 - 2020
N2 - The Japan Diabetes Complications and its Prevention (JDCP) prospective study was conducted to analyze the association between glycemic control and oral conditions in a large database of Japanese patients with diabetes. It included a total of 6,099 patients with diabetes (range, 40-75 years) who were treated as outpatients between 2007 and 2009. The mean number of teeth at baseline was 19.8 and women had fewer teeth than men in type 2 diabetes. Within the previous year, 17 % had lost teeth. At baseline, 32 % had experienced gingival swelling, 69 % brushed more than twice a day, 37 % used interdental devices, and 43 % received dental regular checkups. A multiple logistic regression analysis indicated that type 1 diabetic patients with HbAlc 7.0 % had a higher risk having fewer than 20 teeth (odds ratio [OR]: 2.38; 95 % confidence interval [CI]: 1.25-4.78), and type 2 diabetic patients with HbAlc 8.0 % also had a high risk having fewer than 20 teeth (OR: 1.16; 95 % CI: 1.00-1.34), after adjusting for 9 possible confounders. In conclusion, diabetic patients had a high risk of tooth loss and the poorer the glycemic control, the higher the risk of tooth loss.
AB - The Japan Diabetes Complications and its Prevention (JDCP) prospective study was conducted to analyze the association between glycemic control and oral conditions in a large database of Japanese patients with diabetes. It included a total of 6,099 patients with diabetes (range, 40-75 years) who were treated as outpatients between 2007 and 2009. The mean number of teeth at baseline was 19.8 and women had fewer teeth than men in type 2 diabetes. Within the previous year, 17 % had lost teeth. At baseline, 32 % had experienced gingival swelling, 69 % brushed more than twice a day, 37 % used interdental devices, and 43 % received dental regular checkups. A multiple logistic regression analysis indicated that type 1 diabetic patients with HbAlc 7.0 % had a higher risk having fewer than 20 teeth (odds ratio [OR]: 2.38; 95 % confidence interval [CI]: 1.25-4.78), and type 2 diabetic patients with HbAlc 8.0 % also had a high risk having fewer than 20 teeth (OR: 1.16; 95 % CI: 1.00-1.34), after adjusting for 9 possible confounders. In conclusion, diabetic patients had a high risk of tooth loss and the poorer the glycemic control, the higher the risk of tooth loss.
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U2 - 10.11213/tonyobyo.63.195
DO - 10.11213/tonyobyo.63.195
M3 - Article
AN - SCOPUS:85091045957
SN - 0021-437X
VL - 63
SP - 195
EP - 205
JO - Journal of the Japan Diabetes Society
JF - Journal of the Japan Diabetes Society
IS - 4
ER -
