. 2018 May 2;18(1):577.

doi: 10.1186/s12889-018-5485-7.

Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review

Prakash Poudel^{1

2

3

4}, Rhonda Griffiths⁵, Vincent W Wong^{6

7

8}, Amit Arora^{6

7

9

10

11}, Jeff R Flack^{7

8

12}, Chee L Khoo^{13

14}, Ajesh George^{5

15

6

7

16

17}

Affiliations

¹ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia. 18537606@student.westernsydney.edu.au.
² Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.
³ Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.
⁴ South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia. 18537606@student.westernsydney.edu.au.
⁵ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.
⁶ Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.
⁷ South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.
⁸ South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.
⁹ School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.
¹⁰ Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010, Australia.
¹¹ Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145, Australia.
¹² School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 1797, Australia.
¹³ Health Focus Family Practice, The Royal Australian College of General Practitioners (RACGP), National Association of Diabetes Centres (NADC), Ingleburn, NSW, 2565, Australia.
¹⁴ Diabetes , Obesity and Metabolism Translational Research Unit (DOMTRU), Western Sydney University, Campbelltown, NSW, 2560, Australia.
¹⁵ Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.
¹⁶ Faculty of Dentistry, University of Sydney, Camperdown, 2050, NSW, Australia.
¹⁷ Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.

PMID: 29716561
PMCID: PMC5930945
DOI: 10.1186/s12889-018-5485-7

Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review

Prakash Poudel et al. BMC Public Health. 2018.

. 2018 May 2;18(1):577.

doi: 10.1186/s12889-018-5485-7.

Authors

Prakash Poudel^{1

2

3

4}, Rhonda Griffiths⁵, Vincent W Wong^{6

7

8}, Amit Arora^{6

7

9

10

11}, Jeff R Flack^{7

8

12}, Chee L Khoo^{13

14}, Ajesh George^{5

15

6

7

16

17}

Affiliations

¹ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia. 18537606@student.westernsydney.edu.au.
² Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.
³ Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia. 18537606@student.westernsydney.edu.au.
⁴ South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia. 18537606@student.westernsydney.edu.au.
⁵ School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.
⁶ Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.
⁷ South Western Sydney Local Health District, Liverpool, 2170, NSW, Australia.
⁸ South Western Sydney Clinical School, University of New South Wales, Sydney, NSW, 2052, Australia.
⁹ School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.
¹⁰ Oral Health Services and Sydney Dental Hospital, Sydney Local Health District, Surry Hills, NSW, 2010, Australia.
¹¹ Discipline of Child and Adolescent Health, Sydney Medical School, Westmead, NSW, 2145, Australia.
¹² School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW, 1797, Australia.
¹³ Health Focus Family Practice, The Royal Australian College of General Practitioners (RACGP), National Association of Diabetes Centres (NADC), Ingleburn, NSW, 2565, Australia.
¹⁴ Diabetes , Obesity and Metabolism Translational Research Unit (DOMTRU), Western Sydney University, Campbelltown, NSW, 2560, Australia.
¹⁵ Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool, 1871, NSW, Australia.
¹⁶ Faculty of Dentistry, University of Sydney, Camperdown, 2050, NSW, Australia.
¹⁷ Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.

PMID: 29716561
PMCID: PMC5930945
DOI: 10.1186/s12889-018-5485-7

Abstract

Background: People with uncontrolled diabetes are at greater risk for several oral health problems, particularly periodontal (gum) disease. Periodontal disease also impacts diabetes control. Good oral hygiene and regular dental visits are recommended to prevent and manage oral health problems. Several studies have been conducted to assess the oral health knowledge, attitudes, and practices of people with diabetes yet a review of these findings has not yet been undertaken. The aim of this systematic review was to synthesize current evidence on the knowledge, attitudes and practices of people with diabetes in relation to their oral health care.

Methods: A systematic search of all literature was carried out in five databases using key search terms. The inclusion criteria were: 1) published in the English language; 2) from 2000 to November, 2017; 3) conducted on persons with any type of diabetes and of all ages; 4) explored at least one study outcome (knowledge or attitude or practices toward oral health care); and 5) used quantitative methods of data collection. No restrictions were placed on the quality and setting of the study.

Results: A total of 28 studies met the inclusion criteria. The studies included a total of 27,894 people with diabetes and were conducted in 14 countries. The review found that people with diabetes have inadequate oral health knowledge, poor oral health attitudes, and fewer dental visits. They rarely receive oral health education and dental referrals from their care providers. Provision of oral health education by diabetes care providers and referral to dentists when required, was associated with improved oral health behaviours among patients.

Conclusions: Overall, people with diabetes have limited oral health knowledge and poor oral health behaviours. It is therefore essential to educate patients about their increased risk for oral health problems, motivate them for good oral health behaviours and facilitate access to dental care.

Keywords: Diabetes mellitus; Health knowledge, attitudes, practice; Oral health; Review.

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Ethics approval and consent to participate

Not applicable

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The authors declare that they have no competing interests

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Figures

**Fig. 1**
PRISMA flow chart of the study selection process

See this image and copyright information in PMC

References

1. World Health Organization (WHO). Global report on diabetes. World Health Organization. 2016. http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf. Accessed 26 Dec 2017.
1. American Diabetes Association 2. Classification and diagnosis of diabetes. Diabetes Care. 2017;40(Suppl 1):S11–S24. doi: 10.2337/dc17-S005. - DOI - PubMed
1. Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008;14:191–203. doi: 10.1111/j.1601-0825.2008.01442.x. - DOI - PubMed
1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet. 2005;366:1809–1820. doi: 10.1016/S0140-6736(05)67728-8. - DOI - PubMed
1. Preshaw PM, Alba AL, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012;55:21–31. doi: 10.1007/s00125-011-2342-y. - DOI - PMC - PubMed

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Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review

Affiliations

Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review

Authors

Affiliations

Abstract

Conflict of interest statement

Ethics approval and consent to participate

Competing interests

Publisher’s Note

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Miscellaneous