Type 2 Diabetes and Oral Health Complications A Hospital-Based Observational Research

Main Article Content

Aparna P. Patange


Introduction: Despite the high prevalence and clinical importance of oral health issues in diabetics, screening and management are often neglected in normal diabetes care. Despite the impact these issues have on oral health. Thus, this study seeks to determine the prevalence of oral health issues in type 2 diabetics and their relationship to glycemic management.

Methods: 200 individuals with type 2 diabetes were enrolled in this observational study, which was done in a hospital setting. The HbA1c test was used to evaluate the patients' glycemic management after oral examinations. Statistical tests were used to examine the data.

Results: Oral health issues were prevalent in 79.5% of cases, with periodontitis accounting for 64.5% of these cases. When compared to patients with good glycemic control, patients with poor glycemic control had a higher prevalence of oral health complications (p <0.05). In patients with longer-term diabetes than those with shorter-term diabetes, oral health complications were more common (p <0.05).

Conclusion: Oral health issues, particularly periodontitis, are very common in people with type 2 diabetes. Oral health issues are more common when glycemic management is poor and when diabetes has been present for a longer period of time. The overall management of type 2 diabetes depends on the early identification and treatment of oral health issues.

Article Details

How to Cite
Aparna P. Patange. (2023). Type 2 Diabetes and Oral Health Complications A Hospital-Based Observational Research. Journal of Coastal Life Medicine, 11(1), 2343–2347. Retrieved from https://www.jclmm.com/index.php/journal/article/view/688


International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation; 2019.

American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes Care. 2021;44(Suppl 1):S15-S33.

Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000. 2012;60(1):15-39.

Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M. Glycemic control and alveolar bone loss progression in type 2 diabetes. Ann Periodontol. 1998;3(1):30-9.

Llambés F, Arias-Herrera S, Caffesse R, Echeverría JJ. Relationship between diabetes and periodontal infection. World J Diabetes. 2015;6(7):927-35.

Javed F, Al-Hezaimi K, Salameh Z, Almas K, Romanos GE. Pro-inflammatory cytokines in the crevicular fluid of patients with peri-implantitis and chronic periodontitis. Cytokine. 2011;53(1):8-12.

Al-Maskari AY, Al-Maskari MY, Al-Sudairy S. Oral Manifestations and Complications of Diabetes Mellitus: A review. Sultan Qaboos Univ Med J. 2011;11(2):179-186.

Löe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993;16(1):329-34.

Mealey BL, Oates TW; American Academy of Periodontology. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77(8):1289-303.

Simon LE, Karhade DS, Tobey ML. Oral Health Status of Hospitalized Patients With Type 2 Diabetes. Diabetes Spectr. 2020;33(1):58-65. doi:10.2337/ds18-0089.

Al Habashneh R, Khader YS, Hammad MM, Almuradi MK, Knowledge and awareness about diabetes and periodontal health among Jordanians. J Diabetes Complications. 2010;24(6):409-14.

Carranza FA, Newman MG. Clinical Periodontology. 9th ed. Philadelphia: W.B. Saunders; 2002.

American Diabetes Association. Standards of medical care in diabetes-2021 abridged for primary care providers. Clin Diabetes. 2021;39(1):12-34.

Brownlee M. Advanced protein glycosylation in diabetes and aging. Annu Rev Med. 1995;46(1):223-34.

Mealey BL. Periodontal disease and diabetes. A two-way street. J Am Dent Assoc. 2006;137 Suppl:26S-31S.

Genco RJ, Graziani F, Hasturk H. Effects of periodontal disease on glycemic control, complications, and incidence of diabetes mellitus. Periodontol 2000. 2020;83(1):59-65.

Chávarry NG, Vettore MV, Sansone C, Sheiham A. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(2):107-27.

Khader YS, Albashaireh ZS, Hammad MM. Periodontal status of type 2 diabetics compared with nondiabetics in north Jordan. J Diabetes Complications. 2006;20(1):59-64.

Hegde R, Awan KH. Effects of periodontal disease on systemic health. Disease-a-Month. 2019 Jun 1;65(6):185-92.