title: Oral health status of diabetes mellitus patients in Southwest Cameroon.
abstract: BACKGROUND
  Diabetes mellitus affects virtually all tissues and organs the body including the hard and soft issues of the oral cavity, manifesting with several complications.
  
  
  OBJECTIVE
  To assess the prevalence of oral diseases in diabetics and non-diabetics and to correlate oral diseases with glycaemic control.
  
  
  METHODS
  This was an observational study involving 149 diabetic patients recruited from hospitals in Southwest Region of Cameroon and 102 non-diabetic controls drawn from the general population. The study participants were aged 18 years and above. Data were collected using questionnaires, oral examination and laboratory tests. Oral examination was conducted to assess dental plaque, calculus, dental caries, periodontitis, gingivitis and candidiasis. Glycemic status was assessed by measuring glycated hemoglobin (HbA1c) levels using standardized methods.
  
  
  RESULTS
  Thirty five out of 149 (23.5%) diabetic patients had gingivitis; 37 (24.8%) had periodontitis; 29 (19.5%) had dental caries and 32 (21.5%) had oral candidiasis. Gingivitis, periodontitis and oral candidiasis was significantly higher in diabetics than non-diabetics (P < 0.001). Also, more diabetic patients presented with poor oral hygiene than non-diabetics. Poorly controlled diabetics presented more with gingivitis and candidiasis than well-controlled diabetics and this relationship was statistically significant.
  
  
  CONCLUSIONS
  The prevalence of oral disease was significantly higher in diabetics than in non-diabetic controls and hyperglycaemia seemed to be a major contributor to oral health in diabetic patients in the study area. Proper management of blood sugar levels might improve on the oral health of diabetes mellitus patients.
authors.forename: Mea
authors.initials: M
authors.lastname: Bissong
authors.forename: C C
authors.initials: CC
authors.lastname: Azodo
authors.forename: M A
authors.initials: MA
authors.lastname: Agbor
authors.forename: T
authors.initials: T
authors.lastname: Nkuo-Akenji
authors.forename: P Nde
authors.initials: PN
authors.lastname: Fon
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002163:Cameroon / Q000453:epidemiology; D002180:Candidiasis, Oral / Q000453:epidemiology; D004245:DMF Index; D003728:Dental Calculus / Q000453:epidemiology; D003731:Dental Caries / Q000453:epidemiology; D003773:Dental Plaque / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005891:Gingivitis / Q000453:epidemiology; D006209:Halitosis / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000453:epidemiology*; D009909:Oral Health / Q000706:statistics & numerical data; D009910:Oral Hygiene / Q000706:statistics & numerical data; D010512:Periodontal Index; D010518:Periodontitis / Q000453:epidemiology; D015995:Prevalence; D014076:Tooth Diseases / Q000453:epidemiology*; D014987:Xerostomia / Q000453:epidemiology; D055815:Young Adult
chemical_list: D001786:Blood Glucose