2291-P: Dental Health and Oral Hygiene in Type 2 Diabetes According to Microangiopathic Complications

Introduction and Objective: Oral health is often neglected in patients with type 2 diabetes mellitus (T2DM). Relationship between diabetic microangiopathic complications, oral hygiene, and periodontal status remains unclear. This study aimed to assess association between dental health, oral hygiene, and diabetes microangiopathic complications, including retinopathy, diabetic kidney disease (DKD), and neuropathic diabetic foot syndrome (DFS). Methods: Oral hygiene habits and dental care were assessed using a structured questionnaire in 105 patients with T2DM. A subgroup of patients underwent a full periodontal examination. Patients were categorized according to the presence of retinopathy, DKD, or DFS, based on the patients’ history, clinical assessment and laboratory tests. Results: DFS patients were more likely to be edentulous compared to T2DM patients without DFS (22.0% vs 4.35%). They brushed teeth less frequently (p=0.018), and were less likely to have visited a dentist within the past year (p=0.03). No relevant differences in hygiene behaviors were observed between patients with and without retinopathy or DKD. A trend toward higher caries prevalence was noted in patients with retinopathy vs no retinopathy (p=0.07), DKD vs no DKD (p=0.06) and DFS vs no DFS (p=0.09), although these differences were not statistically significant. Periodontal examination revealed a higher number of residual teeth in patients with DFS (p=0.003) and retinopathy (p=0.04). Standard periodontal parameters did not differ between groups with and without microangiopathic complications. Conclusion: Patients with microvascular complications had a higher number of carious lesions despite similar oral hygiene habits and comparable access to dental care. Among microangiopathic complications DFS appears to be the most important predictor of poorer dental health and oral hygiene. Although the study includes a small sample size, certain trends can already be observed. Patients with diabetic complications should be provided with regular dental care. Disclosure K. Klopecka: None. K. Tkacz: None. A. Nowak-Szwed: None. L. Czupryniak: Speaker's Bureau; Current; Abbott. Advisory Panel; Current; Abbott. Research Support; Current; Abbott.