Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Caries | Research

Prevalence, correlates and treatment needs of dental caries in patients attending a diabetic clinic in rural southwestern Uganda: a cross-sectional study

Authors: Wilfred Arubaku, Deusdedit Tusubira, Frank Ssedyabane, Steffany Chamut, Brittany Anne Seymour, Mark J. Siedner, Vallence Niyonzima, Juliet Nabbanja, Nathan Kakongi, Godfrey Kwizera, Samuel Maling

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

Diabetes mellitus is a complex heterogeneous metabolic disorder known to lead to several pathogenic disorders, and has a bidirectional relationship with oral health conditions. This study aimed at estimating the prevalence, treatment needs and correlates of dental caries among adult patients attending a diabetic clinic in Uganda.

Methods

This was a cross-sectional study that used questionnaires to collect data on socio-demographic factors, diabetes history, oral health status, dental health care, dietary factors, lifestyle factors, and dental examination guided by the modified World Health Organization oral health questionnaire for adults.

Results

We enrolled 239 participants, prevalence of dental caries was 71.6%, treatment need was nearly 100%, and mean DMFT was 3.82 (SD = 5.46). Dental caries experience was associated with being widowed.

Conclusion

We found a high prevalence of dental caries experience and large treatment need among our participants. We recommend integration of oral health care into routine diabetic services in rural sub Saharan Africa.
Literature
1.
Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X, Song X, Ren Y, Shan PF. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Sci Rep. 2020;10(1):14790.CrossRefPubMedPubMedCentral
2.
Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B. IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271–81.CrossRefPubMed
3.
Assah F, Mbanya JC. Diabetes in Sub-Saharan Africa. In: Diabetes Mellitus in Developing Countries and Underserved Communities. edn. Edited by Dagogo-Jack S. Cham: Springer International Publishing; 2017: 33–48.
4.
Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-saharan Africa. The Lancet. 2010;375(9733):2254–66.CrossRef
5.
Hall V, Thomsen RW, Henriksen O, Lohse N. Diabetes in sub Saharan Africa 1999–2011: epidemiology and public health implications. A systematic review. BMC Public Health. 2011;11(1):564.CrossRefPubMedPubMedCentral
6.
Bahendeka S, Wesonga R, Mutungi G, Muwonge J, Neema S, Guwatudde D. Prevalence and correlates of diabetes mellitus in Uganda: a population-based national survey. Tropical Med Int Health. 2016;21(3):405–16.CrossRef
7.
Sanz M, Ceriello A, Buysschaert M, Chapple I, Demmer RT, Graziani F, Herrera D, Jepsen S, Lione L, Madianos P. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. Diabetes Res Clin Pract. 2018;137:231–41.CrossRefPubMed
8.
Latti BR, Kalburge JV, Birajdar SB, Latti RG. Evaluation of relationship between dental caries, diabetes mellitus and oral microbiota in diabetics. J oral maxillofacial pathology: JOMFP. 2018;22(2):282.CrossRefPubMedPubMedCentral
9.
Soell M, Hassan M, Miliauskaite A, Haïkel Y, Selimovic D. The oral cavity of elderly patients in diabetes. Diabetes Metab. 2007;33:10–S18.CrossRef
10.
Laouali N, El Fatouhi D, Aguayo G, Balkau B, Boutron-Ruault M-C, Bonnet F, Fagherazzi G. Type 2 diabetes and its characteristics are associated with poor oral health: findings from 60,590 senior women from the E3N study. BMC Oral Health. 2021;21(1):1–11.CrossRef
11.
Graves DT, Ding Z, Yang Y. The impact of diabetes on periodontal diseases. Periodontol 2000. 2020;82(1):214–24.CrossRefPubMed
12.
Goodson JM, Hartman M-L, Shi P, Hasturk H, Yaskell T, Vargas J, Song X, Cugini M, Barake R, Alsmadi O. The salivary microbiome is altered in the presence of a high salivary glucose concentration. PLoS ONE. 2017;12(3):e0170437.CrossRefPubMedPubMedCentral
13.
Yang Y, Liu S, Wang Y, Wang Z, Ding W, Sun X, He K, Feng Q, Zhang X. Changes of saliva microbiota in the onset and after the treatment of diabetes in patients with periodontitis. Aging. 2020;12(13):13090–114.CrossRefPubMedPubMedCentral
14.
Wei Y-S, Hsiao Y-C, Su G-W, Chang Y-R, Lin H-P, Wang Y-S, Tsai Y-T, Liao E-C, Chen H-Y, Chou H-C, et al. Identification of hyperglycemia-associated microbiota alterations in saliva and gingival sulcus. Arch Biochem Biophys. 2020;682:108278.CrossRefPubMed
15.
Almusawi MA, Gosadi I, Abidia R, Almasawi M, Alrashood ST, Ekhzaimy A, Alhomida AS, Khan HA. Association between salivary factors and cariogenic bacteria in type-2 diabetes patients. J King Saud Univ - Sci. 2020;32(5):2617–21.CrossRef
16.
World Health Organization. Oral health surveys: basic methods. World Health Organization; 2013.
17.
Uganda Bureau of Statistics. : Uganda National Population and Housing Census 2014. Provisional Results.
18.
Arubaku W, Kwizera G, Tusubira D, Kanyesigye M, Chamut S, Seymour BA, Siedner MJ, Niyonzima V, Najjuma JN, Maling S. Prevalence, correlates and treatment needs of dental caries among people on antiretroviral therapy in Uganda: a cross sectional study. BMC Oral Health. 2022;22(1):231.CrossRefPubMedPubMedCentral
19.
Organization WH. Oral health surveys: basic methods. World Health Organization; 2013.
20.
Abid A, Maatouk F, Berrezouga L, Azodo C, Uti O, El-Shamy H, Oginni A. Prevalence and severity of oral diseases in the Africa and Middle East Region. Adv Dent Res. 2015;27(1):10–7.CrossRefPubMed
21.
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 Dentistry. 2016;6(Suppl 3):232–s236.CrossRef
22.
Varughese A, Kavitha R, Sravan Kumar Y, Venkitachalam R, Menon AS, Francis PT, Haridas K. Prevalence and severity of coronal and radicular caries among patients with type 2 diabetes mellitus: a cross sectional study. Medical journal. Armed Forces India. 2022;78(Suppl 1):179–s185.CrossRef
23.
Barylo ОS, Kanishyna Т, Shkilniak LI. The effects of diabetes mellitus on patients’ oral health. Wiadomosci lekarskie (Warsaw, Poland: 1960) 2018, 71(5):1026–1031.
24.
Lin BP, Taylor GW, Allen DJ, Ship JA. Dental caries in older adults with diabetes mellitus. Spec Care Dentist. 1999;19(1):8–14.CrossRefPubMed
25.
Almusawi M, Gosadi I, Abidia R, Almasawi M, Khan H. Potential risk factors for dental caries in type 2 diabetic patients. Int J Dental Hygiene. 2018;16(4):467–75.CrossRef
26.
Open Journal of Epidemiology 2018, Vol.08No.04:13.
27.
Goodson JM, Hartman ML, Shi P, Hasturk H, Yaskell T, Vargas J, Song X, Cugini M, Barake R, Alsmadi O, et al. The salivary microbiome is altered in the presence of a high salivary glucose concentration. PLoS ONE. 2017;12(3):e0170437.CrossRefPubMedPubMedCentral
28.
Mishra VK. Association between Dental Caries and Type 2 Diabetes Mellitus among Kanpur Population.
29.
Shiferaw A, Alem G, Tsehay M, Kibret GD. Dental caries and associated factors among diabetic and nondiabetic adult patients attending Bichena Primary Hospital’s Outpatient Department. Front Oral Health 2022, 3.
30.
Bissong M, Azodo CC, Agbor MA, Nkuo-Akenji T, Fon PN. Oral health status of diabetes mellitus patients in Southwest Cameroon. Odonto-stomatologie tropicale = tropical dental journal 2015, 38(150):49–57.
31.
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 Dentistry. 2016;6(2):125–9.CrossRef
32.
Sebai I, Temessek A, Chelly A, Harrabi T, Ben Mami F. Assessment of oral health status among uncontrolled diabetic mellitus patients in Tunisia. Tunis Med. 2019;97(2):307–13.PubMed
33.
Taylor GW, Manz MC, Borgnakke WS. Diabetes, periodontal diseases, dental caries, and tooth loss: a review of the literature. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995) 2004, 25(3):179–184, 186 – 178, 190; quiz 192.
34.
Åstrøm AN, Ekback G, Ordell S, Gulcan F. Changes in oral health-related quality of life (OHRQoL) related to long-term utilization of dental care among older people. Acta Odontol Scand. 2018;76(8):559–66.CrossRefPubMed
35.
Crocombe LA. Long-term routine dental attendance is important for older adults. J Evid Based Dent Pract. 2015;15(1):39–40.CrossRefPubMed
36.
Frencken J. Caries Epidemiology and Its Challenges. Monographs in oral science 2018, 27:11–23.
37.
Saunders RH, Meyerowitz C. Dental caries in older adults. Dent Clin. 2005;49(2):293–308.
38.
López R, Smith PC, Göstemeyer G, Schwendicke F. Ageing, dental caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):145–s152.CrossRef
39.
Teshome A, Muche A, Girma B. Prevalence of dental caries and associated factors in East Africa, 2000–2020: systematic review and meta-analysis. Front Public Health. 2021;9:645091.CrossRefPubMedPubMedCentral
40.
Honkala S, Runnel R, Saag M, Olak J, Nõmmela R, Russak S, Mäkinen PL, Vahlberg T, Falony G, Mäkinen K, et al. Effect of erythritol and xylitol on dental caries prevention in children. Caries Res. 2014;48(5):482–90.CrossRefPubMed
41.
Nayak PA, Nayak UA, Khandelwal V. The effect of xylitol on dental caries and oral flora. Clin Cosmet Invest dentistry. 2014;6:89–94.CrossRef
42.
Teshome A, Andualem G. Dental Caries and Associated factors among patients attending the University of Gondar Comprehensive Hospital Dental Clinic, North West Ethiopia: A Hospital-Based cross-sectional study. 2020, 12:191–8.
43.
Bogale B, Engida F, Hanlon C, Prince MJ, Gallagher JE. Dental caries experience and associated factors in adults: a cross-sectional community survey within Ethiopia. BMC Public Health. 2021;21(1):180.CrossRefPubMedPubMedCentral
44.
Van Wyk C, Van Wyk PJ. Trends in dental caries prevalence, severity and unmet treatment need levels in South Africa between 1983 and 2002: scientific. South Afr Dent J. 2010;65(7):310–4.
45.
Nazir MA, AlGhamdi L, AlKadi M, AlBeajan N, AlRashoudi L, AlHussan M. The burden of diabetes, its oral complications and their Prevention and Management. Open access Macedonian journal of medical sciences. 2018;6(8):1545–53.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence, correlates and treatment needs of dental caries in patients attending a diabetic clinic in rural southwestern Uganda: a cross-sectional study
Authors
Wilfred Arubaku
Deusdedit Tusubira
Frank Ssedyabane
Steffany Chamut
Brittany Anne Seymour
Mark J. Siedner
Vallence Niyonzima
Juliet Nabbanja
Nathan Kakongi
Godfrey Kwizera
Samuel Maling
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Caries
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03156-y

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue

Research

Effect of filament types and loops number on the force degradation of elastomeric chains used for orthodontic treatment: an in-vitro study

Research

Investigation of the efficacy of different Ni-Ti systems on acrylic blocks for correcting ledge formation

Research

Comparative analysis of xenogeneic collagen matrix and autogenous subepithelial connective tissue graft to increase soft tissue volume around dental implants: a systematic review and meta-analysis

Research

Effects of different designs of orthodontic clear aligners on the maxillary central incisors in the tooth extraction cases: a biomechanical study

Research

Lip and tongue strength associated with chewing patterns in aging population

Research

Effect of the denture adhesive for dry mouth on the retentive force of the experimental palatal plates: a pilot controlled clinical trial