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BMC Oral Health

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Open Access 01-12-2023 | Diabetes | Research

Association of oral care with periodontitis and glycemic control among US adults with diabetes

Authors: Yuqing Zhang, Suzanne G. Leveille, Sarah M. Camhi, Ling Shi

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

Studies indicate that treating periodontitis may benefit glycemic control among people with diabetes. It is unclear whether oral self-care such as flossing may reduce risk for periodontitis and improve glycemic control among people with diabetes. The purpose of this study was to examine associations between oral care, specifically, flossing and preventive dental care, with periodontitis and glycemic control, among US dentate adults with diabetes.

Methods

We analyzed data from the National Health and Nutrition Examination Survey 2011–2014 for 892 participants aged 30 years and older with diabetes who completed the periodontal examination and lab test for hemoglobin A1c (HbA1c). Sampling weights were applied. Multivariable logistic regression and multivariable linear modeling were performed to examine the associations of flossing and preventive dental services on periodontal health and HbA1c levels, respectively, controlling for sociodemographic characteristics, health behaviors, and other risk factors.

Results

Among U.S. dentate adults with diabetes, 52.1% of flossers and 72.1% of non-flossers had periodontitis (p < 0.001). Flossers were 39% less likely to have periodontitis (Adj. OR 0.61, 95% CI 0.43–0.88) compared to non-flossers. Flossers had an average HbA1c reading 0.30% (95% CI 0.02%—0.58%) lower than non-flossers, adjusted for covariates (p = 0.037). Preventive dental visits were associated with reduced risk for periodontitis (Adj. OR 0.54, 95%CI, 0.38–0.75) but not glycemic control.

Conclusion

Flossing was associated with periodontal health and glycemic control among US adults with diabetes. Although further research is needed, the findings support that oral self-care may be particularly beneficial for adults with diabetes.

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Title: Association of oral care with periodontitis and glycemic control among US adults with diabetes
Authors: Yuqing Zhang
Suzanne G. Leveille
Sarah M. Camhi
Ling Shi
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Diabetes
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03580-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association of oral care with periodontitis and glycemic control among US adults with diabetes

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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