Klinik Araştırma
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Diyabetli Bireylerde Oral Komplikasyon Görülme Sıklığının İncelenmesi

Yıl 2024, Cilt: 4 Sayı: 3, 928 - 937

Öz

Amaç: Diyabetin gözler, böbrekler, kalp gibi organların yanında ağızda da çeşitli komplikasyonlara neden olduğu bilinmektedir. Bu araştırmada diyabetle ilişkili oral bulguların görülme sıklığını ve bu hastaların oral hijyen durumlarını değerlendirmek amaçlandı. Gereç ve Yöntem: Imam Khomeini Üniversite Hastanesi endokrinoloji departmanına başvuran 30-60 yaşları arasında, en az iki yıldır diyabet hastası olduğu bilinen 400 kişi çalışmaya dahil edildi. 16 soruluk bir anket gönüllü bireylerce cevaplandıktan sonra oral hijyen durumunu değerlendirmek için Basitleştirilmiş Oral Hijyen İndeksi kaydedildi. Bulgular: Bireylerin %88,25’inde oral komplikasyonların olduğu tespit edildi. Yüksek HbA1c seviyeleri ile oral bulguların görülme sıklığı arasında anlamlı ilişki bulgulandı. (p=0,04). En sık görülen bulgular ağız kuruluğu (%57,75) ve tat duyusunda değişiklik (%22,25) olarak tespit edildi. Hastaların %22’si misvak kullandığını bildirdi ve %72,5’inde oral hijyenin ortalama olduğu bulgulandı. Sonuç: Diyabete eşlik eden oral bulguların sıklığı anlamlı derecede yüksektir. Hekimlerin diyabet hastalarını optimal oral hijyeni sağlamak için yönlendirmesi ve eğitmesi oral sağlığın restore edilmesinde kritik öneme sahiptir.

Kaynakça

  • American Diabetes Association, (2021a). 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2021. Diabetes care, 44(Supplement_1), S15-S33. https://doi.org/10.2337/dc21-S002
  • American Diabetes Association, (2021b). 6. Glycemic targets: standards of medical care in diabetes—2021. Diabetes care, 44(Supplement_1), S73-S84. https://doi.org/10.2337/dc21-S006
  • Asgari, F., Majidi, A., Koohpayehzadeh, J., Etemad, K., & Rafei, A. (2015). Oral hygiene status in a general population of Iran, 2011: a key lifestyle marker in relation to common risk factors of non-communicable diseases. International journal of health policy and management, 4(6), 343. https://doi.org/10.15171/ijhpm.2015.18
  • Atlas, D. (2015). International diabetes federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium: International Diabetes Federation, 33(2).
  • Borgnakke, W. S., Anderson, P. F., Shannon, C., & Jivanescu, A. (2015). Is there a relationship between oral health and diabetic neuropathy? Current diabetes reports, 15, 1-9. https://doi.org/10.1007/s11892-015-0673-7
  • Borgnakke, W. S., Genco, R. J., Eke, P. I., & Taylor, G. W. (2021). Oral health and diabetes. In: Diabetes in America. 3rd ed. National Institute of Diabetes and Digestive and Kidney Diseases (US), Bethesda Retrieved from https://pubmed.ncbi.nlm.nih.gov/33651538/
  • Chávez, E. M., Borrell, L. N., Taylor, G. W., & Ship, J. A. (2001). A longitudinal analysis of salivary flow in control subjects and older adults with type 2 diabetes. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 91(2), 166-173. https://doi.org/10.1067/moe.2001.112054
  • Choi, J.-S. (2020). Association between self-assessed gingival bleeding and halitosis, and glycated hemoglobin levels in patients with diabetes. Journal of Korean society of Dental Hygiene, 20(1), 19-27. https://doi.org/10.13065/jksdh.20200003
  • Coculescu, E., Ţovaru, Ş., & Coculescu, B. (2014). Epidemiological and etiological aspects of burning mouth syndrome. Journal of Medicine and Life, 7(3),305. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4206710/
  • Demmer, R. T., Holtfreter, B., Desvarieux, M., Jacobs Jr, D. R., Kerner, W., Nauck, M., . . . Kocher, T. (2012). The influence of type 1 and type 2 diabetes on periodontal disease progression: prospective results from the Study of Health in Pomerania (SHIP). Diabetes care, 35(10), 2036-2042. https://doi.org/10.2337/dc11-2453
  • Emerging Risk Factors Collaboration, (2010). Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. The Lancet, 375(9733), 2215-2222. https://doi.org/10.1016/S0140-6736(10)60484-9
  • Fischer, R. G., Lira Junior, R., Retamal-Valdes, B., Figueiredo, L. C. d., Malheiros, Z., Stewart, B., & Feres, M. (2020). Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis. Brazilian Oral Research, 34, e026. https://doi.org/10.1590/1807-3107bor-2020.vol34.0026
  • Gandara, B. K., & Morton Jr, T. H. (2011). Non-periodontal oral manifestations of diabetes: a framework for medical care providers. Diabetes spectrum, 24(4), 199. https://doi.org/10.2337/diaspect.24.4.199
  • Genco, R. J., & Borgnakke, W. S. (2020). Diabetes as a potential risk for periodontitis: association studies. Periodontology 2000, 83(1), 40-45. https://doi.org/10.1111/prd.12270
  • Greene, J. G., & Vermillion, J. R. (1964). The simplified oral hygiene index. The Journal of the American Dental Association, 68(1), 7-13. https://doi.org/10.14219/jada.archive.1964.0034
  • Grushka, M., Epstein, J. B., & Gorsky, M. (2002). Burning mouth syndrome. American family physician, 65(4), 615-621. Retrieved from https://www.aafp.org/pubs/afp/issues/2002/0215/p615.html
  • Gurvits, G. E., & Tan, A. (2013). Burning mouth syndrome. World journal of gastroenterology: WJG, 19(5), 665. https://doi.org/10.3748/wjg.v19.i5.665
  • Indurkar, M. S., Maurya, A. S., & Indurkar, S. (2016). Oral manifestations of diabetes. Clinical diabetes, 34(1), 54-57. https://doi.org/10.2337/diaclin.34.1.54
  • Ivanovski, K., Naumovski, V., Kostadinova, M., Pesevska, S., Drijanska, K., & Filipce, V. (2012). Xerostomia and salivary levels of glucose and urea in patients with diabetes. Contributions of Macedonian Academy of Sciences & Arts, 33(2).
  • Kasmaei, P., Amin Shokravi, F., Hidarnia, A., Hajizadeh, E., Atrkar-Roushan, Z., Karimzadeh Shirazi, K., & Montazeri, A. (2014). Brushing behavior among young adolescents: does perceived severity matter. BMC public health, 14(1), 1-6. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-8
  • Kim, D.-L., Kim, S.-D., Kim, S. K., Park, S., & Song, K.-H. (2016). Is an oral glucose tolerance test still valid for diagnosing diabetes mellitus? Diabetes & metabolism journal, 40(2), 118-128. https://doi.org/10.4093/dmj.2016.40.2.118
  • Kim, E.-K., Lee, S. G., Choi, Y.-H., Won, K.-C., Moon, J. S., Merchant, A. T., & Lee, H.-K. (2013). Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus. BMC Oral Health, 13, 1-8. https://doi.org/10.1186/1472-6831-13-64
  • Kocher, T., König, J., Borgnakke, W. S., Pink, C., & Meisel, P. (2018). Periodontal complications of hyperglycemia/diabetes mellitus: epidemiologic complexity and clinical challenge. Periodontology 2000, 78(1), 59-97. https://doi.org/10.1111/prd.12235
  • Lessa, L. S., Pires, P. D. S. e., Becker, I. R. T., Ceretta, L. B., Tuon, L., & Simões, P. W. (2015). Meta-analysis of prevalence of xerostomia in diabetes mellitus. International Archives of Medicine, 8. http://dx.doi.org/10.3823/1823
  • Lima, D. L. F., Carneiro, S. D. R. M., Barbosa, F. T. d. S., Saintrain, M. V. d. L., Moizan, J. A. H., & Doucet, J. (2017). Salivary flow and xerostomia in older patients with type 2 diabetes mellitus. PloS one, 12(8), e0180891. https://doi.org/10.1371/journal.pone.0180891
  • Lotfaliany, M., Hadaegh, F., Asgari, S., Mansournia, M. A., Azizi, F., Oldenburg, B., & Khalili, D. (2019). Non-invasive risk prediction models in identifying undiagnosed type 2 diabetes or predicting future incident cases in the Iranian population. Archives of Iranian medicine, 22(3), 116-124.
  • Monje, A., Catena, A., & Borgnakke, W. S. (2017). Association between diabetes mellitus/hyperglycaemia and peri‐implant diseases: systematic review and meta‐analysis. Journal of clinical periodontology, 44(6), 636-648. https://doi.org/10.1111/jcpe.12724
  • Oliver, R., Tervonen, T., Bereuter, J., & Flynn, D. (1991). Diabetes--a risk factor for periodontitis? Northwest dentistry, 70(4), 26-27.
  • Pathak, A. K., Shakya, V. K., Chandra, A., & Goel, K. (2013). Association between diabetes mellitus and periodontal status in north Indian adults. European Journal of General Dentistry, 2(01), 58-61. https://doi.org/10.4103/2278-9626.106815
  • Petersen, P. E., & Ogawa, H. (2012). The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontology 2000, 60(1), 15-39. https://doi.org/10.1111/j.1600-0757.2011.00425.x
  • Rajhans, N. S., Kohad, R. M., Chaudhari, V. G., & Mhaske, N. H. (2011). A clinical study of the relationship between diabetes mellitus and periodontal disease. Journal of Indian Society of Periodontology, 15(4), 388-392. https://doi.org/10.4103/0972-124X.92576
  • Roglic, G. (2016). Global report on diabetes: World Health Organization.
  • Sandberg, G. E., Sundberg, H. E., Fjellstrom, C. A., & Wikblad, K. F. (2000). Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes research and clinical practice, 50(1), 27-34. https://doi.org/10.1016/s0168-8227(00)00159-5
  • Ship, J. A. (2003). Diabetes and oral health: an overview. The Journal of the American Dental Association, 134, 4S-10S. https://doi.org/10.14219/jada.archive.2003.0367
  • Soofi, M., Pasdar, Y., Karami Matin, B., Hamzeh, B., Rezaei, S., Kazemi Karyani, A.,Salimi, Y. (2020). Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study. BMC Oral Health, 20(1), 1-11. Retrieved from https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-1036-6
  • Stolbova, K., Hahn, A., Benes, B., Andel, M., & Treslova, L. (1999). Gustometry of diabetes mellitus patients and obese patients. The international tinnitus journal, 5(2), 135-140.
  • Tsai, C., Hayes, C., & Taylor, G. W. (2002). Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community dentistry and oral epidemiology, 30(3), 182-192. https://doi.org/10.1034/j.1600-0528.2002.300304.x
  • Wysham, C. H., & Kirkman, M. S. (2011). Response to Comment on: American Diabetes Association. Standards of Medical Care in Diabetes—2011. Diabetes Care 2011; 34 (Suppl. 1): S11–S61. Diabetes care, 34(5), e54-e54. https://doi.org/10.2337/dc11-0174
  • Zoungas, S., Woodward, M., Li, Q., Cooper, M. E., Hamet, P., Harrap, S., Poulter, N. (2014). Impact of age, age at diagnosis and duration of diabetes on the risk of macrovascular and microvascular complications and death in type 2 diabetes. Diabetologia, 57, 2465-2474. https://doi.org/10.1007/s00125-014-3369-7

Assessing Incidence of Associated Oral Complications Among Diabetic Patients

Yıl 2024, Cilt: 4 Sayı: 3, 928 - 937

Öz

Objective: Aside from affecting various organs such as the eyes, kidneys, and heart, diabetes can also lead to significant complications in oral health. The aim of this research was to assess the prevalence of oral complications linked to diabetes and to evaluate the oral hygiene status of diabetic patients. Methods: 400 patients who applied to Imam Khomeini University Hospital's endocrinology department in Iran and who were between the ages of 30 and 60 and had been diagnosed with diabetes for at least two years were included in this study. A 16-item survey form was completed by volunteer patients. The Simplified Oral Hygiene Index (OHIS) was used to assess the state of oral hygiene. Results: Oral findings were observed in 88.25% of the cases. A statistically significant relationship was found between the increase in HbA1c levels and the increased frequency of oral manifestations (p=0.04). The most prevalent symptoms related to oral complications were dry mouth (57.75%) and an unpleasant taste in the mouth (22.25%). 22% of individuals reported that they used miswak (salvadora persica). In 72.5% of cases, dental hygiene was moderate. Conclusion: The prevalence of accompanying oral complications in diabetic patients was identified to be notably high. It is crucial for physicians to educate and guide patients toward achieving optimal oral hygiene to restore oral health in individuals with diabetes. Ensuring optimal oral hygiene is essential to mitigate the impact of oral complications caused by diabetes.

Kaynakça

  • American Diabetes Association, (2021a). 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2021. Diabetes care, 44(Supplement_1), S15-S33. https://doi.org/10.2337/dc21-S002
  • American Diabetes Association, (2021b). 6. Glycemic targets: standards of medical care in diabetes—2021. Diabetes care, 44(Supplement_1), S73-S84. https://doi.org/10.2337/dc21-S006
  • Asgari, F., Majidi, A., Koohpayehzadeh, J., Etemad, K., & Rafei, A. (2015). Oral hygiene status in a general population of Iran, 2011: a key lifestyle marker in relation to common risk factors of non-communicable diseases. International journal of health policy and management, 4(6), 343. https://doi.org/10.15171/ijhpm.2015.18
  • Atlas, D. (2015). International diabetes federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium: International Diabetes Federation, 33(2).
  • Borgnakke, W. S., Anderson, P. F., Shannon, C., & Jivanescu, A. (2015). Is there a relationship between oral health and diabetic neuropathy? Current diabetes reports, 15, 1-9. https://doi.org/10.1007/s11892-015-0673-7
  • Borgnakke, W. S., Genco, R. J., Eke, P. I., & Taylor, G. W. (2021). Oral health and diabetes. In: Diabetes in America. 3rd ed. National Institute of Diabetes and Digestive and Kidney Diseases (US), Bethesda Retrieved from https://pubmed.ncbi.nlm.nih.gov/33651538/
  • Chávez, E. M., Borrell, L. N., Taylor, G. W., & Ship, J. A. (2001). A longitudinal analysis of salivary flow in control subjects and older adults with type 2 diabetes. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 91(2), 166-173. https://doi.org/10.1067/moe.2001.112054
  • Choi, J.-S. (2020). Association between self-assessed gingival bleeding and halitosis, and glycated hemoglobin levels in patients with diabetes. Journal of Korean society of Dental Hygiene, 20(1), 19-27. https://doi.org/10.13065/jksdh.20200003
  • Coculescu, E., Ţovaru, Ş., & Coculescu, B. (2014). Epidemiological and etiological aspects of burning mouth syndrome. Journal of Medicine and Life, 7(3),305. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4206710/
  • Demmer, R. T., Holtfreter, B., Desvarieux, M., Jacobs Jr, D. R., Kerner, W., Nauck, M., . . . Kocher, T. (2012). The influence of type 1 and type 2 diabetes on periodontal disease progression: prospective results from the Study of Health in Pomerania (SHIP). Diabetes care, 35(10), 2036-2042. https://doi.org/10.2337/dc11-2453
  • Emerging Risk Factors Collaboration, (2010). Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. The Lancet, 375(9733), 2215-2222. https://doi.org/10.1016/S0140-6736(10)60484-9
  • Fischer, R. G., Lira Junior, R., Retamal-Valdes, B., Figueiredo, L. C. d., Malheiros, Z., Stewart, B., & Feres, M. (2020). Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis. Brazilian Oral Research, 34, e026. https://doi.org/10.1590/1807-3107bor-2020.vol34.0026
  • Gandara, B. K., & Morton Jr, T. H. (2011). Non-periodontal oral manifestations of diabetes: a framework for medical care providers. Diabetes spectrum, 24(4), 199. https://doi.org/10.2337/diaspect.24.4.199
  • Genco, R. J., & Borgnakke, W. S. (2020). Diabetes as a potential risk for periodontitis: association studies. Periodontology 2000, 83(1), 40-45. https://doi.org/10.1111/prd.12270
  • Greene, J. G., & Vermillion, J. R. (1964). The simplified oral hygiene index. The Journal of the American Dental Association, 68(1), 7-13. https://doi.org/10.14219/jada.archive.1964.0034
  • Grushka, M., Epstein, J. B., & Gorsky, M. (2002). Burning mouth syndrome. American family physician, 65(4), 615-621. Retrieved from https://www.aafp.org/pubs/afp/issues/2002/0215/p615.html
  • Gurvits, G. E., & Tan, A. (2013). Burning mouth syndrome. World journal of gastroenterology: WJG, 19(5), 665. https://doi.org/10.3748/wjg.v19.i5.665
  • Indurkar, M. S., Maurya, A. S., & Indurkar, S. (2016). Oral manifestations of diabetes. Clinical diabetes, 34(1), 54-57. https://doi.org/10.2337/diaclin.34.1.54
  • Ivanovski, K., Naumovski, V., Kostadinova, M., Pesevska, S., Drijanska, K., & Filipce, V. (2012). Xerostomia and salivary levels of glucose and urea in patients with diabetes. Contributions of Macedonian Academy of Sciences & Arts, 33(2).
  • Kasmaei, P., Amin Shokravi, F., Hidarnia, A., Hajizadeh, E., Atrkar-Roushan, Z., Karimzadeh Shirazi, K., & Montazeri, A. (2014). Brushing behavior among young adolescents: does perceived severity matter. BMC public health, 14(1), 1-6. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-8
  • Kim, D.-L., Kim, S.-D., Kim, S. K., Park, S., & Song, K.-H. (2016). Is an oral glucose tolerance test still valid for diagnosing diabetes mellitus? Diabetes & metabolism journal, 40(2), 118-128. https://doi.org/10.4093/dmj.2016.40.2.118
  • Kim, E.-K., Lee, S. G., Choi, Y.-H., Won, K.-C., Moon, J. S., Merchant, A. T., & Lee, H.-K. (2013). Association between diabetes-related factors and clinical periodontal parameters in type-2 diabetes mellitus. BMC Oral Health, 13, 1-8. https://doi.org/10.1186/1472-6831-13-64
  • Kocher, T., König, J., Borgnakke, W. S., Pink, C., & Meisel, P. (2018). Periodontal complications of hyperglycemia/diabetes mellitus: epidemiologic complexity and clinical challenge. Periodontology 2000, 78(1), 59-97. https://doi.org/10.1111/prd.12235
  • Lessa, L. S., Pires, P. D. S. e., Becker, I. R. T., Ceretta, L. B., Tuon, L., & Simões, P. W. (2015). Meta-analysis of prevalence of xerostomia in diabetes mellitus. International Archives of Medicine, 8. http://dx.doi.org/10.3823/1823
  • Lima, D. L. F., Carneiro, S. D. R. M., Barbosa, F. T. d. S., Saintrain, M. V. d. L., Moizan, J. A. H., & Doucet, J. (2017). Salivary flow and xerostomia in older patients with type 2 diabetes mellitus. PloS one, 12(8), e0180891. https://doi.org/10.1371/journal.pone.0180891
  • Lotfaliany, M., Hadaegh, F., Asgari, S., Mansournia, M. A., Azizi, F., Oldenburg, B., & Khalili, D. (2019). Non-invasive risk prediction models in identifying undiagnosed type 2 diabetes or predicting future incident cases in the Iranian population. Archives of Iranian medicine, 22(3), 116-124.
  • Monje, A., Catena, A., & Borgnakke, W. S. (2017). Association between diabetes mellitus/hyperglycaemia and peri‐implant diseases: systematic review and meta‐analysis. Journal of clinical periodontology, 44(6), 636-648. https://doi.org/10.1111/jcpe.12724
  • Oliver, R., Tervonen, T., Bereuter, J., & Flynn, D. (1991). Diabetes--a risk factor for periodontitis? Northwest dentistry, 70(4), 26-27.
  • Pathak, A. K., Shakya, V. K., Chandra, A., & Goel, K. (2013). Association between diabetes mellitus and periodontal status in north Indian adults. European Journal of General Dentistry, 2(01), 58-61. https://doi.org/10.4103/2278-9626.106815
  • Petersen, P. E., & Ogawa, H. (2012). The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontology 2000, 60(1), 15-39. https://doi.org/10.1111/j.1600-0757.2011.00425.x
  • Rajhans, N. S., Kohad, R. M., Chaudhari, V. G., & Mhaske, N. H. (2011). A clinical study of the relationship between diabetes mellitus and periodontal disease. Journal of Indian Society of Periodontology, 15(4), 388-392. https://doi.org/10.4103/0972-124X.92576
  • Roglic, G. (2016). Global report on diabetes: World Health Organization.
  • Sandberg, G. E., Sundberg, H. E., Fjellstrom, C. A., & Wikblad, K. F. (2000). Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes research and clinical practice, 50(1), 27-34. https://doi.org/10.1016/s0168-8227(00)00159-5
  • Ship, J. A. (2003). Diabetes and oral health: an overview. The Journal of the American Dental Association, 134, 4S-10S. https://doi.org/10.14219/jada.archive.2003.0367
  • Soofi, M., Pasdar, Y., Karami Matin, B., Hamzeh, B., Rezaei, S., Kazemi Karyani, A.,Salimi, Y. (2020). Socioeconomic-related inequalities in oral hygiene behaviors: a cross-sectional analysis of the PERSIAN cohort study. BMC Oral Health, 20(1), 1-11. Retrieved from https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-1036-6
  • Stolbova, K., Hahn, A., Benes, B., Andel, M., & Treslova, L. (1999). Gustometry of diabetes mellitus patients and obese patients. The international tinnitus journal, 5(2), 135-140.
  • Tsai, C., Hayes, C., & Taylor, G. W. (2002). Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community dentistry and oral epidemiology, 30(3), 182-192. https://doi.org/10.1034/j.1600-0528.2002.300304.x
  • Wysham, C. H., & Kirkman, M. S. (2011). Response to Comment on: American Diabetes Association. Standards of Medical Care in Diabetes—2011. Diabetes Care 2011; 34 (Suppl. 1): S11–S61. Diabetes care, 34(5), e54-e54. https://doi.org/10.2337/dc11-0174
  • Zoungas, S., Woodward, M., Li, Q., Cooper, M. E., Hamet, P., Harrap, S., Poulter, N. (2014). Impact of age, age at diagnosis and duration of diabetes on the risk of macrovascular and microvascular complications and death in type 2 diabetes. Diabetologia, 57, 2465-2474. https://doi.org/10.1007/s00125-014-3369-7
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği (Diğer), Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Samin Mohebi Bu kişi benim 0009-0004-0944-7543

Başak Karasu 0000-0001-6537-9902

Hamid Reza Mehryar Bu kişi benim 0000-0002-3267-8647

Erken Görünüm Tarihi 20 Aralık 2024
Yayımlanma Tarihi
Gönderilme Tarihi 19 Nisan 2024
Kabul Tarihi 1 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 4 Sayı: 3

Kaynak Göster

APA Mohebi, S., Karasu, B., & Mehryar, H. R. (2024). Assessing Incidence of Associated Oral Complications Among Diabetic Patients. Unika Sağlık Bilimleri Dergisi, 4(3), 928-937.