title: Relationship between diabetes mellitus and tooth loss in adults residing in Ubonratchathani province, Thailand.
abstract: BACKGROUND
  Diabetes mellitus is associated with oral diseases or oral complications leading to tooth loss. Prevalence of diabetes and tooth loss in Thailand is increasing.
  
  
  OBJECTIVE
  Determine the relationship between diabetes mellitus and tooth loss in adults residing in Nachaluay district, Ubonratchathani province, Thailand during the year 2010.
  
  
  METHODS
  A cross-sectional analytic study included 605 adults (130 males and 475 females), aged 20 to 86 years, of which 226 subjects did not have diabetes mellitus, and 379 people were diabetic patients. The subjects received an interview and oral examination. Data analysis was performed using descriptive, bivariate, and multivariable logistic regression analyses.
  
  
  RESULTS
  Findings from the final multivariable logistic regression model showed that tooth loss (defined as missing > or =1 teeth) was associated significantly with age, diabetes mellitus, dental caries, loss of clinical attachment level 6 mm > or =2 sides, and use of fluoride toothpaste, with the adjusted odds ratio (95% CI) being 1.067 (1.047, 1.088), 1.729 (1.092, 2.738), 1.149 (1.071, 1.232), 2.436 (1.575, 3.767), and 0.541 (0.321, 0.914), respectively.
  
  
  CONCLUSIONS
  Tooth loss was associated directly with diabetes mellitus in Thai adults. Therefore, prevention and promotion as well as early treatment of diabetes and oral diseases should be achieved to reduce occurrence, severity, and complications resulting from diabetes mellitus and tooth loss.
authors: Nachaluay Hospital, Ubonratchathani, Thailand.
authors: Watcharaporn
authors: W
authors: Sensorn
authors: Supaporn
authors: S
authors: Chatrchaiwiwatana
authors: Sauwanan
authors: S
authors: Bumrerraj
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D013785:Thailand / Q000453:epidemiology; D016388:Tooth Loss / Q000453:epidemiology*; D055815:Young Adult