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

Nasser Laouali, Douae El Fatouhi, Gloria Aguayo, Beverley Balkau, Marie Christine Boutron-Ruault, Fabrice Bonnet, Guy Fagherazzi*

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

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.

Original languageEnglish
Article number315
Pages (from-to)315
JournalBMC Oral Health
Volume21
Issue number1
DOIs
Publication statusPublished - 23 Jun 2021

Keywords

  • Aged
  • Epidemiology
  • Female
  • Gingivitis
  • Periodontitis
  • Treatments
  • Type 2 diabetes mellitus

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