A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India

Objectives. To compare the prevalence of root surface carious lesions among the nondiabetic and diabetic elderly population and its association with various risk factors. Methods. An observational analytical cross-sectional study was conducted among 800 elderly participants, 431 males and 369 female...

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Main Authors: Kush Kalra, Ramprasad Vasthare, Shivashankar K. N., Nishu Singla, Deepak Kumar Singhal, Ritesh Singla
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2024/9963917
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author Kush Kalra
Ramprasad Vasthare
Shivashankar K. N.
Nishu Singla
Deepak Kumar Singhal
Ritesh Singla
author_facet Kush Kalra
Ramprasad Vasthare
Shivashankar K. N.
Nishu Singla
Deepak Kumar Singhal
Ritesh Singla
author_sort Kush Kalra
collection DOAJ
description Objectives. To compare the prevalence of root surface carious lesions among the nondiabetic and diabetic elderly population and its association with various risk factors. Methods. An observational analytical cross-sectional study was conducted among 800 elderly participants, 431 males and 369 females, aged 50 years and above, with a minimum of ten teeth present, with 400 being diabetic and 400 nondiabetic from the various hospitals of the Udupi district. Demographics, socioeconomic status, oral hygiene practices, oral abusive habits, and history of type 2 diabetes were collected using an interviewer-administered questionnaire followed by an intraoral examination to assess root caries. The primary outcome measure was the presence of any carious or filled root surface. Binary logistic regression univariate analysis was done for all the predictor variables, and those with significant associations were further analyzed by multivariate analysis with the enter method in a single-step model. An appropriate nomogram was designed for risk prediction. Results. Overall, the root caries prevalence was 37.3%, and the mean root caries index was 14.28%. The prevalence of root caries was 46% in people with diabetes and 28.5% in nondiabetics. Participants with type 2 diabetes, less education, low socioeconomic status, and using finger cleaning had a significantly higher risk of developing root caries. Additionally, those who used removable partial dentures (RPDs) were found to be 4.65 times more likely to have root caries than those who did not use RPDs. Conclusion. Elderly diabetics are at a higher risk for developing root caries and are strongly advised to maintain good oral hygiene practices and to undergo periodic dental evaluations. Therefore, it is crucial to emphasize early diagnosis and treatment of root caries in this population.
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spelling doaj-art-f94d23820eae42ea8628405bad722e072025-02-03T06:06:37ZengWileyThe Scientific World Journal1537-744X2024-01-01202410.1155/2024/9963917A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, IndiaKush Kalra0Ramprasad Vasthare1Shivashankar K. N.2Nishu Singla3Deepak Kumar Singhal4Ritesh Singla5Department of Public Health DentistryDepartment of Public Health DentistryDepartment of General MedicineDepartment of Public Health DentistryDepartment of Public Health DentistryDepartment of Orthodontics and Dentofacial OrthopaedicsObjectives. To compare the prevalence of root surface carious lesions among the nondiabetic and diabetic elderly population and its association with various risk factors. Methods. An observational analytical cross-sectional study was conducted among 800 elderly participants, 431 males and 369 females, aged 50 years and above, with a minimum of ten teeth present, with 400 being diabetic and 400 nondiabetic from the various hospitals of the Udupi district. Demographics, socioeconomic status, oral hygiene practices, oral abusive habits, and history of type 2 diabetes were collected using an interviewer-administered questionnaire followed by an intraoral examination to assess root caries. The primary outcome measure was the presence of any carious or filled root surface. Binary logistic regression univariate analysis was done for all the predictor variables, and those with significant associations were further analyzed by multivariate analysis with the enter method in a single-step model. An appropriate nomogram was designed for risk prediction. Results. Overall, the root caries prevalence was 37.3%, and the mean root caries index was 14.28%. The prevalence of root caries was 46% in people with diabetes and 28.5% in nondiabetics. Participants with type 2 diabetes, less education, low socioeconomic status, and using finger cleaning had a significantly higher risk of developing root caries. Additionally, those who used removable partial dentures (RPDs) were found to be 4.65 times more likely to have root caries than those who did not use RPDs. Conclusion. Elderly diabetics are at a higher risk for developing root caries and are strongly advised to maintain good oral hygiene practices and to undergo periodic dental evaluations. Therefore, it is crucial to emphasize early diagnosis and treatment of root caries in this population.http://dx.doi.org/10.1155/2024/9963917
spellingShingle Kush Kalra
Ramprasad Vasthare
Shivashankar K. N.
Nishu Singla
Deepak Kumar Singhal
Ritesh Singla
A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
The Scientific World Journal
title A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
title_full A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
title_fullStr A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
title_full_unstemmed A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
title_short A Cross-Sectional Study to Assess Diabetes as a Risk Factor for Root Caries Amongst the Elderly Population in Udupi District, Karnataka State, India
title_sort cross sectional study to assess diabetes as a risk factor for root caries amongst the elderly population in udupi district karnataka state india
url http://dx.doi.org/10.1155/2024/9963917
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