Dental service use among adults with incident type 2 diabetes, rheumatoid arthritis or inflammatory bowel disease

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-05-22 DOI:10.1111/cdoe.12976

Eero Raittio, Vibeke Baelum, Gustavo G. Nascimento, Rodrigo Lopez

{"title":"Dental service use among adults with incident type 2 diabetes, rheumatoid arthritis or inflammatory bowel disease","authors":"Eero Raittio, Vibeke Baelum, Gustavo G. Nascimento, Rodrigo Lopez","doi":"10.1111/cdoe.12976","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>It is not clear if or how the incidence of systemic conditions like type 2 diabetes mellitus (DM<sub>2</sub>), rheumatoid arthritis (RA) or inflammatory bowel disease (IBD) affects dental service utilization. Using nationwide Danish register data, the aim of this study was to analyse the use of dental services 7 years before and after being diagnosed with DM<sub>2</sub>, RA or IBD between 1997 and 2011.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Information about incident DM<sub>2</sub> was obtained from the Register for Selected Chronic Diseases and Severe Mental Disorders, and incident RA and IBD were defined based on diagnosis codes of hospital contacts identified through the National Patient Register. Separately, for each of the three conditions, each individual with the incident condition was matched to one control individual based on age, gender, country of origin, municipality of residence, highest completed education, the main source of income and income using coarsened exact matching in the year of incidence. The use of dental services and treatments received within each calendar year from 7 years before to 7 years after getting the condition were analysed with generalized estimating equations.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>People with incident DM<sub>2</sub> were less likely (by seven percentage points) to be dental service users within a year than people without incident DM<sub>2</sub> for a period extending from up to 7 years prior to 7 years after the diagnosis. This difference even slightly increased after the diagnosis. Those with incident IBD exhibited a consistently but modestly higher proportion of dental service use (three percentage points) than those without incident IBD before and after the diagnosis. Differences in the use of services between those with or without incident RA were minor. For all three systemic diseases, detected differences mainly mirrored differences in the provision of supragingival scaling and restorative treatment.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The findings suggest that the impact of these three systemic conditions on dental service use was minor.</p>\n </section>\n </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"52 6","pages":"799-808"},"PeriodicalIF":1.8000,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.12976","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community dentistry and oral epidemiology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cdoe.12976","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

It is not clear if or how the incidence of systemic conditions like type 2 diabetes mellitus (DM₂), rheumatoid arthritis (RA) or inflammatory bowel disease (IBD) affects dental service utilization. Using nationwide Danish register data, the aim of this study was to analyse the use of dental services 7 years before and after being diagnosed with DM₂, RA or IBD between 1997 and 2011.

Methods

Information about incident DM₂ was obtained from the Register for Selected Chronic Diseases and Severe Mental Disorders, and incident RA and IBD were defined based on diagnosis codes of hospital contacts identified through the National Patient Register. Separately, for each of the three conditions, each individual with the incident condition was matched to one control individual based on age, gender, country of origin, municipality of residence, highest completed education, the main source of income and income using coarsened exact matching in the year of incidence. The use of dental services and treatments received within each calendar year from 7 years before to 7 years after getting the condition were analysed with generalized estimating equations.

Results

People with incident DM₂ were less likely (by seven percentage points) to be dental service users within a year than people without incident DM₂ for a period extending from up to 7 years prior to 7 years after the diagnosis. This difference even slightly increased after the diagnosis. Those with incident IBD exhibited a consistently but modestly higher proportion of dental service use (three percentage points) than those without incident IBD before and after the diagnosis. Differences in the use of services between those with or without incident RA were minor. For all three systemic diseases, detected differences mainly mirrored differences in the provision of supragingival scaling and restorative treatment.

Conclusions

The findings suggest that the impact of these three systemic conditions on dental service use was minor.

Abstract Image

查看原文本刊更多论文

患有 2 型糖尿病、类风湿性关节炎或炎症性肠病的成年人使用牙科服务的情况。

目的：目前尚不清楚2型糖尿病（DM2）、类风湿性关节炎（RA）或炎症性肠病（IBD）等全身性疾病的发病率是否或如何影响牙科服务的使用。本研究利用丹麦全国范围内的登记数据，旨在分析1997年至2011年间被诊断出患有DM2、类风湿性关节炎或炎症性肠病前后7年的牙科服务使用情况：从全国糖尿病登记册中获得了关于糖尿病二期患者的信息，而根据全国患者登记册确定的医院接触者的诊断代码，定义了RA和IBD患者。根据年龄、性别、原籍国、居住城市、完成的最高教育程度、主要收入来源和发病当年的收入情况，分别将这三种疾病的每个发病者与一名对照者进行精确匹配。使用广义估计方程分析了发病前 7 年至发病后 7 年间每个日历年内牙科服务和治疗的使用情况：结果：在确诊前 7 年至确诊后 7 年期间，DM2 患者在一年内使用牙科服务的可能性比 DM2 非患者低（低 7 个百分点）。这一差异在确诊后甚至略有扩大。在确诊前后，IBD 患者使用牙科服务的比例（3 个百分点）持续略高于无 IBD 患者。患有或未患有 RA 的患者在使用服务方面的差异很小。对于所有三种系统性疾病，检测到的差异主要反映在龈上洗牙和修复治疗方面的差异：研究结果表明，这三种全身性疾病对牙科服务使用的影响较小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.