* Corresponding Author
Oral health-related quality of life in type 2 diabetic patients of Yogyakarta General Hospital
https://doi.org/10.22146/majkedgiind.43693 Dewi Agustina(1*), Nunuk Purwanti(2), Lisdrianto Hanindriyo(3), Fimma Naritasari(4)
(1) Department of Oral Medicine, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(2) Department of Dental Biomedical Sciences, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(3) Department of Preventive and Community Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(4) Department of Oral Medicine, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author
Abstract
Yogyakarta is a province in Indonesia with the highest prevalence (2.4%) of Diabetes Mellitus (DM). Around 90% of diabetic patients suffer from type 2 DM. Oral manifestations of DM may disturb oral functions which in turn influence oral health - related quality of life (OHRQo)L. This study aimed to evaluate the OHRQoL of type 2 DM outpatients in Yogyakarta General Hospital. The study subjects comprised 50 male outpatients and 32 female outpatients with type 2 DM (40-81 years old). Geriatric Oral Health Assessment Index (GOHAI) and Xerostomia Inventory were used to assess OHRQoL and xerostomia status, respectively. Intraoral examinations comprising periodontal tissue, oral hygiene (OH), coated tongue, and present teeth were performed. There were 49 (59.76%) subjects with low and 33 (40.24%) subjects with high score of GOHAI; 78 (95.12%) with and 4 (4.88%) without periodontal tissue defect; 79 (96.34%) with poor and 3 (3.66%) good OH; 17 (20.73%) with coated tongue >50% and 65 (79.27%) with coated tongue ≤50%; 34 (41.46%) with present teeth <20 and 48 (58.54%) with present teeth ≥20; and 39 (47.56%) with xerostomia and 43 (52.44%) with normal status. Only ‘present teeth’ had a significant contribution to the proportion of GOHAI status in type 2 DM patients in this study (p=0.032). Type 2 DM patients with ≥20 teeth had a more significant proportion of high GOHAI status compared to those with <20 teeth. The majority of type 2 DM outpatients of Yogyakarta General Hospital had poor OHRQoL as reflection of their oral condition that is partly contributed by patients with present teeth <20.
Keywords
Full Text:
PDFReferences
1. Awad N, Langi YA, Pandelaki K. Gambaran faktor resiko pasien diabetes melitus tipe II
di Poliklinik Endokrin Bagian/SMF FK-Unsrat RSU Prof. Dr. RD Kandou Manado Periode
Mei 2011 – Oktober 2011. Jurnal e-Biomedik. 2013; 1(1): 45-49. doi: 10.35790/ebm.v1i1.1160
2. Trisnawati SK, Setyorogo S. Faktor risiko kejadian diabetes melitus tipe II di Puskesmas
Kecamatan Cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan. 2013; 5(1): 6-11.
3. Kementerian Kesehatan RI. Laporan Nasional Riset Kesehatan Dasar 2018, Jakarta, Indonesia: Badan Penelitian dan Pengembangan Kesehatan; 2013. 125-145.
4. Kementerian Kesehatan RI. Buletin Jendela Data dan Informasi Kesehatan: Gambaran
kesehatan lanjut usia di Indonesia; 2013.
5. Al-Maskari AY, Al-Maskari MY, Al-Sudairy S. Oral manifestations and complications of
diabetes mellitus. Sultan Qaboos Univ Med J. 2011; 11(2): 179-186.
6. Negrato CA, Tarzia O. Buccal alterations in diabetes mellitus. Diabetol Metabo Syndr.
2010; 2(3): 3-11. doi: 10.1186/1758-5996-2-3
7. López-Pintor RM, Casañas E, González-Serrano J, Serrano J, Ramírez L, de Arriba
L, Hernández G. Xerostomia, hyposalivation, and salivary flow in diabetes patients. Journal
of Diabetes Research. 2016; 2016: 1-15. doi: 10.1155/2016/4372852
8. Rajesh KS, Zareena SH, Kumar MA. Assessment of salivary calcium, phosphate,
magnesium, pH, and flow rate in healthy subjects, periodontitis, and dental caries. Contemp Clin Dent. 2015; 6(4): 461-465. doi: 10.4103/0976-237X.169846
9. Dabas N, Phukela SS, Yadav H. The split denture: managing xerostomia in denture patients: a case report. J Indian Prosthodont Soc. 2011; 11(1): 67-70. doi: 0.1007/s13191-011-0056-y
10. Department of Health and Human Services (DHHS). Oral health in America: a report of
the Surgeon General. National Institute of Health; 2000. 133-152.
11. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J of
Dental Edu. 1990; 54 (11): 680-687.
12. Thomson WM. Dry mouth and older people. Aust Dent J. 2015; 60(1): 54-63.
doi: 10.1111/adj.12284
13. Dawes C. How much saliva is enough for avoidance of xerostomia?. Caries Res. 2004;
38(3): 236-240. doi: 10.1159/000077760
14. Wiener RC, Wu B, Crout R, Wiener M, Plassman B, Kao E, McNeil D. Hyposalivation
and xerostomia in dentate older adults. J Am Dent Assoc. 2010; 141(3): 279-284.
15. Shimizu T, Ueda T, Sakurai K. New method for evaluation of tongue-coating status. J Oral
Rehabil. 2007; 34(6): 442-447. doi: 10.1111/j.1365-2842.2007.01733.x
16. PERKENI. Konsensus Pengelolaan dan Pencegahan Diabetes mellitus Tipe 2 di
Indonesia, Jakarta: Perkumpulan Endokrinologi Indonesia (PERKENI); 2015.
17. Scully C. Drug effects on salivary glands: dry mouth. Oral Dis. 2003; 9(4): 165-176.
doi: 10.1034/j.1601-0825.2003.03967.x.
18. Harijanti K, Soebadi B, Mulyaningsih I. Prevalence of xerostomia on type 2 diabetes
mellitus in Hajj Hospital Surabaya. Dental Journal (Majalah Kedokteran Gigi). 2007;
40(3): 136-139. doi: 10.20473/j.djmkg.v40.i3.p136-139.
19. Marinka MS. Xerostomia – Diagnosis and Treatment. J Med Sci. 2012; 38(2012): 69-91.
20. Shetty SR, Bhowmick S, Castelino R, Babu S. Drug induced xerostomia in elderly individuals: an institutional study. Contemp Clin Dent. 2012; 3(2): 173-175. doi: 10.4103/0976-237X.96821
21. Lima DLF, Carneiro SDRM, Barbosa FT, Saintrain MV, Saintrain MVdL, Moizan JAH,
Doucet J. Salivary flow and xerostomia in older patients with type 2 diabetes mellitus.
PLoS ONE. 2017; 12(8): e0180891. doi: 10.1371/journal.pone.0180891
22. Vasudev CI, Kashyap RR, Kini R, Rao PK, Nayak V. Diabetes Mellitus and Xerostomia:
An Obnoxious Co-Occurrence. ARC Journal of Dental Science. 2018; 3(1): 1-2.
doi: 10.20431/2456-0030.0301001
23. Teeuw WJ, Kosho MXF, Poland DCW, Gerdes VEA, Loos BG. Periodontitis as a possible
early sign of diabetes mellitus. BMJ Open Diabetes Research and Care. 2017; 5(1):
e000326. doi: 10.1136/bmjdrc-2016-000326.
24. Negrato CA, Tarzia O, Jovanovic L, Chinellato LEM. Periodontal disease and diabetes
mellitus. J Appl Oral Sci. 2013; 21(1): 1-12. doi: 10.1590/1678-7757201302106
25. Maragkos P, Kaima A, Kyriazis I. The interaction between diabetes and periodontal
disease. Intl J of Caring Sciences. 2017; 10(2): 1104-1107.
26. Bisset S, Pumerantz A, Preshaw P. Periodontal disease and diabetes. Journal of
Diabetes Nursing. 2015; 19(4): 134-140.
27. Lawande SA, Lawande GS. Tongue hygiene and its significance in the control of halitosis.
J of Orofacial Res. 2013; 3(4): 256-262. doi:10.5005/jp-journals-10026-1107
28. Atchison KA. The General Oral Health Assessment Index, Chapter 7, in Slade GD
(Ed.): Measuring oral health and quality of life. Chapel Hill: University of North Carolina. Dental Ecology; 1997. 71-80.
29. Dugal R. Xerostomia: dental implications and management. Ann Essences Dent. 2010;
2(3): 137-140. doi:10.5368/aedj.2010.2.3.137-140.pdf
30. Pedersen AML, Sørensen CE, Proctor GB, Carpenter GH. Salivary functions in mastication, taste and textural perception, swallowing and initial digestion. Oral Dis. 2018; 24(8): 1399-1416. doi: 10.1111/odi.12867
31. Locker D. Concepts of oral health, disease and the quality of life, in Slade, G.D. (Ed.),
Measuring oral health and quality of life, Dept. of Dental Ecology, School of Dentistry, University
of North Carolina, USA; 1997. 11-24.
32. Theofilou P. Quality of life: definition and measurement. Eur J Psychol. 2013; 9(1): 150-
162. doi: 10.5964/ejop.v9i1.337
33. Allen F, Steele J. Oral health-related quality of life. In: Holm-Pedersen P, Walls AWG, Ship
JA, eds. Textbook of geriatric dentistry. West Sussex, UK: John Wiley & Sons, Ltd; 2015.
301-310.
DOI: https://doi.org/10.22146/majkedgiind.43693
Article Metrics
Abstract views : 2590
| 
views : 2001
Refbacks
- There are currently no refbacks.
Copyright (c) 2021 Majalah Kedokteran Gigi Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.