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Dental caries and their relation to hba1c in adults with type 2 diabetes mellitus
Deepasri Mohan1, Yogesh Bhuvaneshwar2, Ramakrishnan Manjankarni Jeyaram3, Sukanya Saravanan4, Anandakumar Amutha5, Research Team6
1 Oral and Maxillofacial Pathologist, Dental Department, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India
2 Prosthodontist, Dental Department, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India
3 Oral and Maxillofacial Surgeon, Dental Department, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India
4 Dental Consultant, Dental Department, Dr. Mohan's Diabetes Specialities Centre, Chennai, Tamil Nadu, India
5 Scientist & Head, Department of Childhood and Youth Onset Diabetes, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India
Correspondence Address:
Sukanya Saravanan
Dental Consultant, Dr. Mohans Diabetes Specialities Centre, Chennai, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijph.ijph_1935_21
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Diabetes mellitus with poor glycemic control is often associated with dental caries. We aim to assess the relationship between dental caries and HbA1c levels among adults with type 2 diabetes (T2D) in Chennai. A cutoff of HbA1c ≥7.0 to 7.9% (53–63 mmol/mol) was used to define Group 1 (n = 113) as moderately controlled and HbA1c ≥8.0% (64 mmol/mol) to define Group 2 (n = 228) as poorly controlled T2D. The absolute numbers of decayed, missing, and filled teeth were examined to calculate the decayed, missing and filled teeth index. Group 2 had a significantly higher percentage (48.2%) of decayed teeth when compared to Group 1 (28.3%). Group 2 had a 2.65 times higher risk of decayed teeth when adjusted for mean carbohydrate consumption, sweets consumption, oral hygiene, and brushing habit. T2D with higher HbA1c levels is associated with an increased number of decayed teeth. Hence, there is a need for monitoring dental status in T2D as earlier treatment may prevent or delay decay teeth.
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