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Type: Artigo
Title: Oral Physiology, Nutrition And Quality Of Life In Diabetic Patients Associated Or Not With Hypertension And Beta-blockers Therapy
Author: Pereira
L. J.; Foureaux
R. C.; Pereira
C. V.; Alves
M. C.; Campos
C. H.; Rodrigues Garcia
R. C. M.; Andrade
E. F.; Goncalves
T. M. S. V.
Abstract: The relationship between type 2 diabetes oral physiology, nutritional intake and quality of life has not been fully elucidated. We assessed the impact of type 2 diabetes - exclusive or associated with hypertension with beta-blockers treatment - on oral physiology, mastication, nutrition and quality of life. This cross-sectional study was performed with 78 complete dentate subjects (15 natural teeth and six masticatory units minimum; without removable or fixed prostheses), divided into three groups: diabetics (DM) (n = 20; 454 +/- 95 years), diabetics with hypertension and receiving beta-blockers treatment (DMH) (n = 19; 411 +/- 51 years) and controls (n = 39; 445 +/- 117 years) matched for gender, age and socioeconomic status. Blood glucose, masticatory performance, swallowing threshold, taste, food intake, stimulated and unstimulated salivary flow, pH and buffering capacity of saliva were assessed. Glycemia was higher in DM than in controls (P < 001). No differences were observed between DM and controls for nutrition and quality of life. Both stimulated and unstimulated salivary flow rate were lower in DMH (P < 001), which also presented the lowest number of teeth and masticatory units (P < 00001), and reduction in the number of chewing cycles (P < 001). Controls showed lower Decayed Missing Filled Teeth index (DMFT) scores in comparison with DMH (P = 0021). Masticatory performance and saliva buffering capacity were similar among groups. Exclusive type 2 diabetes did not alter oral physiology, nutrition or quality of life. However, when hypertension and beta-blockers treatment were associated with diabetes, the salivary flow rate, chewing cycles and number of teeth decreased.
Subject: Saliva
Oral Health
Dental Physiological Phenomena
Editor: Wiley-Blackwell
Rights: fechado
Identifier DOI: 10.1111/joor.12398
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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