PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Review Article

Volume 3 Issue 6

Oral Hygiene; Knowledge, Attitude, and Practices among Diabetic Patients: An Overview

Areej Harahsheh, Ra'ed Abu Hantash and Mohammad Abu Younis*

May 30, 2024


Diabetic patients are at greater risk for several oral health complications, particularly periodontal disease. Periodontal disease has an impact on diabetes control. Good oral hygiene knowledge and practices are recommended to prevent and manage oral health problems.

Diabetic patients have limited knowledge about the risk of diabetes on their oral health, lack compliance with recommended oral hygiene behavior. Knowledge and oral hygiene practices levels are better among patients with controlled diabetes. It is therefore essential to educate patients about their increased risk for oral complications and motivate them for good oral hygiene practice, facilitate access to dental care, and advise them to have regular dental checkups.

Keywords: Oral hygiene; Diabetes Mellitus; Oral hygiene Knowledge; Attitude; Practices


  1. Afroz A., et al. “Type 2 diabetes mellitus in Bangladesh: a prevalence-based cost-of-illness study”. BMC health services research 19.1 (2019): 601.‏
  2. Aggarwal A and Panat SR. “Oral health behavior and HbA1c in Indian adults with type 2 diabetes”. J Oral Sci 54.4 (2012): 293-301.
  3. Al Habashneh R., et al. “Knowledge and awareness about diabetes and periodontal health among Jordanians”. Journal of diabetes and its complications 24.6 (2010): 409-414.‏
  4. Al Omari M., et al. “Glycaemic control among patients with type 2 diabetes mellitus treated in primary care setting in Jordan”. Primary care diabetes 3.3 (2009): 173-179.‏
  5. Al-Ansari JM and Honkala S. “Gender differences in oral health knowledge and behavior of the health science college students in Kuwait”. Journal of allied health 36.1 (2007): 41-46.‏
  6. Albandar JM, Brunelle JA and Kingman A. “Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994”. J Periodontol 70 (1999): 13-29.
  7. Allen NA., et al. “Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: a randomized clinical trial”. Diabetes research and clinical practice 80.3 (2008): 371-379.‏
  8. American Diabetes Association. Diagnosing diabetes and learning about prediabetes (2017).
  9. Andersen RM. “Revisiting the behavioral model and access to medical care: does it matter?”. Journal of health and social behavior (1995): 1-10.‏
  10. Arunkumar S., et al. “Survey on awareness and knowledge about the effect of diabetes mellitus on systemic and oral health in patients visiting general medicine outpatient Department in Dental Hospital”. J Krishna Inst Med Sci 4.2 (2015): 100-106.‏
  11. Babitsch B, Gohl D and Von Lengerke T. “Re-revisiting Andersen’s Behavioral Model of Health Services Use: a systematic review of studies from 1998-2011”. GMS Psycho-Social-Medicine 9 (2012).‏
  12. BaHammam AS, Pandi-Perumal SR and Alzoghaibi MA. “The effect of Ramadan intermittent fasting on lipid peroxidation in healthy young men while controlling for diet and sleep: a pilot study”. Annals of thoracic medicine 11.1 (2016): 43-8.‏
  13. Baker SR. “Applying Andersen’s behavioural model to oral health: what are the contextual factors shaping perceived oral health outcomes?”. Community Dentistry and Oral Epidemiology 37.6 (2009): 485-494.‏
  14. Bangash RY., et al. “Diabetic Patients: Level of Awareness about Oral Health Knowledge and Practices”. Pakistan Oral & Dental Journal; Peshawar 31.2 (2011).
  15. Cheng Y., et al. “Clinical characteristics and outcomes of patients with diabetes and COVID-19 in association with glucose-lowering medication”. Diabetes care 43.7 (2020): 1399-1407.‏
  16. Cheng ML., et al. “Utilisation of oral health services and economic burden of oral diseases in China”. Chin J Dent Res 21.4 (2018): 275-84.
  17. de Pinho AMS., et al. “Impact of periodontal disease on the quality of life of diabetics based on different clinical diagnostic criteria”. International journal of dentistry (2012).‏
  18. Furuta M and Yamashita Y. “Oral health and swallowing problems”. Current physical medicine and rehabilitation reports 1.4 (2013): 216-222.‏
  19. Guariguata L., et al. “Global estimates of diabetes prevalence for 2013 and projections for 2035”. Diabetes research and clinical practice 103.2 (2014): 137-149.‏
  20. Gupta S., et al. “Correlation of salivary glucose level with blood glucose level in diabetes mellitus”. Journal of oral and maxillofacial pathology: JOMFP 21.3 (2017): 334-339.‏
  21. Guzman A., et al. “The design and synthesis of a potent glucagon receptor antagonist with favorable physicochemical and pharmacokinetic properties as a candidate for the treatment of type 2 diabetes mellitus”. Bioorganic & medicinal chemistry letters 23.10 (2013): 3051-3058.‏
  22. Imam A. “Current Status of Diabetes in Palestine: Epidemiology, Management, and Healthcare System”. Cham, Switzerland: Springer (2019).
  23. Ismaeil FMAN and Ali N. “Diabetic patients’ knowledge, attitude and practice toward oral health”. Jep 4.20 (2013): 19-25.‏
  24. Kejriwal S, Bhandary R and Thomas B. “Assessment of knowledge and attitude of diabetes mellitus type 2 patients about their oral health in Mangalore, India”. Univ Res J Dent 4.1 (2014): 44-47.
  25. Khader A., et al. “Diabetes mellitus and treatment outcomes in Palestine refugees in UNRWA primary health care clinics in Jordan”. Public Health Action 3.4 (2013): 259-264.
  26. Khattab M., et al. “Factors associated with poor glycemic control among patients with type 2 diabetes”. Journal of Diabetes and its Complications 24.2 (2010): 84-89.‏
  27. Lalla IB., et al. “The relationship between oral health and diabetes mellitus”. The Journal of the American Dental Association 139 (2012): 19S-24S.‏
  28. Martin T, Boye KS and Peng X. “Cost of medication adherence and persistence in type 2 diabetes mellitus: a literature review”. Patient preference and adherence 11 (2017): 1103-1117.‏
  29. Nazir MA. “Prevalence of periodontal disease, its association with systemic diseases and prevention”. International journal of health sciences 11.2 (2017): 72-80.‏
  30. Ogurtsova K., et al. “IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040”. Diabetes research and clinical practice 128 (2017): 40-50.‏
  31. Orlando VA., et al. “Oral health knowledge and behaviors among adolescents with type 1 diabetes”. International journal of dentistry (2010).‏
  32. Poudel P., et al. “Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review”. BMC public health 18.1 (2018): 577.‏
  33. Sadeghi R, Taleghani F and Farhadi S. “Oral health related quality of life in diabetic patients”. Journal of dental research, dental clinics, dental prospects 8.4 (2014): 230-4.‏
  34. Sahril N., et al. “Oral health seeking behaviour among Malaysians with type II diabetes”. J Public Health Aspects 1.1 (2014): 1-8
  35. Seymour G., et al. “Relationship between periodontal infections and systemic disease”. Clin. Microbiol. Infect 13 (2007): 3-10.
  36. Shrivastava S., et al. “Oral health related quality of life of controlled and uncontrolled type II diabetes mellitus patients-a questionnaire based comparative study”. J Dent Orofac Res 14 (2018): 20-4.‏
  37. Simpson TC., et al. “Treatment of periodontal disease for glycaemic control in people with diabetes mellitus”. Cochrane Database Syst Rev 11 (2015): CD004714.
  38. Sogi GM and Bhaskar DJ. “Dental caries and oral hygiene status of school children in Davangere related to their socio-economic levels: an epidemiological study”. Journal of the Indian Society of Pedodontics and Preventive Dentistry 20.4 (2015): 152-157.‏
  39. Standl E., et al. “The global epidemics of diabetes in the 21st century: Current situation and perspectives”. European journal of preventive cardiology 26.2_suppl (2019): 7-14.‏‏
  40. Tsai AL., et al. “The comparative effectiveness of diabetes prevention strategies to reduce postpartum weight retention in women with gestational diabetes mellitus: the Gestational Diabetes’ Effects on Moms (GEM) cluster randomized controlled trial”. Diabetes Care 39.1 (2016): 65-74.‏
  41. Ummadisetty T., et al. “Diabetes and periodontitis: How well are the patients aware about an established relation?”. Journal of Indian Society of Periodontology 20.4 (2016): 472-475.
  42. Verhulst MJ., et al. “Evaluating all potential oral complications of diabetes mellitus”. Frontiers in endocrinology 10 (2019): 56.‏‏
  43. Yuen VG., et al. “Glucose lowering effect of montbretin A in Zucker Diabetic Fatty rats”. Molecular and cellular biochemistry 411.1 (2016): 373-381.‏
  44. Yuen H., et al. “Oral health knowledge and behavior among adults with diabetes”. Diabetes Research and Clinical Practice 86.3 (2009): 239-246.
  45. Zeitler P., et al. International Society for Pediatric and Adolescent Diabetes. “.ISPAD clinical practice consensus guidelines 2014”. Type 2 diabetes in the child and adolescent Pediatr Diabetes 15.Suppl.20 (2014): 26-46.