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Association between dental visits for periodontal treatment and type 2 diabetes mellitus in an elderly Japanese cohort
Author(s) -
Saito Mizuki,
Shimazaki Yoshihiro,
oyama Toshiya,
Tadokoro Yasushi
Publication year - 2017
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12804
Subject(s) - medicine , periodontal disease , cohort , diabetes mellitus , dentistry , cohort study , periodontitis , type 2 diabetes mellitus , type 2 diabetes , tooth loss , oral health , endocrinology
Aim There is an association between type 2 diabetes mellitus (T2 DM ) and periodontitis. We examined the association between the dental visit status and diabetes status in the Japanese elderly population. Materials and methods In total, 14,551 participants, aged 75 or 80 years, who underwent systemic health examinations were analysed. Three independent variables of dental visit status were investigated according to dental claims data, including whether dental treatment was received, type of dental treatment (no visit, periodontal treatment, or other dental treatment), and number of days of periodontal treatment (0, 1–4, or ≥5 days). We performed multivariate logistic and linear regression analyses to examine the relationship between dental visit status and diabetes status. Results The multivariate odds ratio ( OR ) for T2 DM was significantly lower (0.74, 95% confidence interval: 0.66–0.82) for subjects who received periodontal treatment compared with those who did not receive dental treatment. Subjects who received periodontal treatment had a significantly lower OR for T2 DM , regardless of the number of days of treatment. In the multivariate linear regression model, receiving periodontal treatment was significantly associated with decrease in A1c ( p < .05). Conclusion Dental visits to receive periodontal treatment were associated with a better diabetes status in the Japanese elderly population.