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. 2021 Jun 23;21(1):315.
doi: 10.1186/s12903-021-01679-w.

Type 2 diabetes and its characteristics are associated with poor oral health: findings from 60,590 senior women from the E3N study

Nasser Laouali  1   2 , Douae El Fatouhi  1   2 , Gloria Aguayo  3 , Beverley Balkau  4 , Marie-Christine Boutron-Ruault  1   2 , Fabrice Bonnet  5 , Guy Fagherazzi  6   7   8
Affiliations

Type 2 diabetes and its characteristics are associated with poor oral health: findings from 60,590 senior women from the E3N study

Nasser Laouali et al. BMC Oral Health. .

Abstract

Background: Type 2 diabetes (T2D) has been identified as a risk factor for poor oral health, however, a limited number of oral health and T2D characteristics have been studied so far. We sought to assess T2D status, age at diagnosis, duration since diagnosis and treatment in relation to a variety of oral diseases.

Methods: Cross-sectional data were analyzed from the E3N (Etude Epidémiologique auprès de femmes de l'Education Nationale) cohort study which enrolled 60,590 women. Participants self-reported oral health status, and T2D cases were identified using diabetes-specific questionnaires and drug reimbursement insurance databases. Multivariable-adjusted ORs and 95% CIs were estimated using logistic regression models.

Results: The mean age (SD) of the women was 70 years (7.2), and 4.7% (n = 2857) had T2D. Compared to women without T2D, women with T2D were more likely to report a poor perceived oral health (OR 1.37 [95% CI 1.18, 1.60]), wearing dental prostheses (1.26 [1.14, 1.39]) and having problems of biting and chewing food (1.19 [1.07, 1.33]). In addition, for women with T2D the age at diagnosis (inversely) and the duration (positively) were associated with the likelihood to report poor oral health.

Conclusions: For women with T2D, duration and age at diagnosis are associated with wearing prostheses, problems of biting and chewing, periodontitis and gingivitis.

Keywords: Aged; Epidemiology; Female; Gingivitis; Periodontitis; Treatments; Type 2 diabetes mellitus.

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Conflict of interest statement

The authors declare that they have no competing interests associated with this manuscript.

Figures

Fig. 1
Fig. 1
Odds ratios of perceived oral health (yes/no) comparing women with type 2 diabetes to those without type 2 diabetes. LCI, low confidence interval; UCI, upper confidence interval; * Adjusted for age, educational level, smoking status, physical activity, family history of diabetes, hypercholesterolemia, hypertension, body mass index, dietary inflammatory index, daily brushing frequency and annual frequency of visit to the dentist
Fig. 2
Fig. 2
Odds ratios of perceived oral health according to type 2 diabetes duration. LCI, low confidence interval; UCI, upper confidence interval; Q, quartile of the diabetes duration, * Adjusted for age, educational level, smoking status, physical activity, family history of diabetes, hypercholesterolemia, hypertension, body mass index, dietary inflammatory index, daily brushing frequency and annual frequency of visit to the dentist
Fig. 3
Fig. 3
Odds ratios of perceived oral health according to age at diagnosis of type 2 diabetes. LCI, low confidence interval; UCI, upper confidence interval; Q, quartile of the diabetes duration, * Adjusted for age, educational level, smoking status, physical activity, family history of diabetes, hypercholesterolemia, hypertension, body mass index, dietary inflammatory index, daily brushing frequency and annual frequency of visit to the dentist
See this image and copyright information in PMC

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