ORAL HEALTH RELATED QUALITY OF LIFE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS IN INDONESIA: A SYSTEMATIC LITERATURE REVIEW

##plugins.themes.bootstrap3.article.sidebar##

pdf
Published: Dec 1, 2025
DOI: https://doi.org/10.34011/icihcce.v7i1.354
Keywords:
OHRQoL

##plugins.themes.bootstrap3.article.main##

Siti Fatimah
<br /><b>Warning</b>: htmlspecialchars() expects parameter 1 to be string, array given in <b>/home/u2693602/public_html/jrk/conference/lib/pkp/lib/vendor/smarty/smarty/libs/plugins/modifier.escape.php</b> on line <b>39</b><br />
Yonan Heriyanto
Poltekkes Kemenkes Bandung
Deru Marah Laut

Abstract

Background: Indonesia is currently facing a public health concern, possessing the fifth-highest prevalence of individuals with Type 2 Diabetes Mellitus (T2DM) worldwide. Type 2 diabetes mellitus (T2DM) is significantly linked to problems with oral health that can greatly lower patients' Oral Health-Related Quality of Life (OHRQoL). Nonetheless, a thorough synthesis of the evidence in the Indonesian context is absent.
Objective: This study aim to comprehensively synthesize the Oral Health-Related Quality of Life of patients with Type 2 Diabetes Mellitus in Indonesia.
Method: A systematic literature review was performed by querying PubMed, Scopus, and Cochrane Library for papers published from January 2004 to December 2025. The search encompassed observational and interventional studies conducted in Indonesia that evaluated OHRQoL in adult T2DM patients utilizing validated measures. A narrative synthesis of the findings was conducted due to methodological heterogeneity.
Results: The review of 6 studies revealed a consistent trend of reduced OHRQoL among Indonesian T2DM patients, despite variations in overall scores among studies. The OHRQoL domains that were most often and most seriously affected were physical pain and functional restrictions, like trouble chewing. Periodontitis, tooth mobility, and xerostomia were some of the most important oral manifestations that caused this effect. Glycemic control, diabetes duration, and lower educational attainment were important factors contributing to reduced OHRQoL.
Conclusion: T2DM substantially detrimentally affects the OHRQoL of patients in Indonesia, chiefly via functional and physical dimensions. These results highlight the pressing necessity of including oral healthcare into national chronic disease management plans to enhance patient-centered outcomes.

##plugins.themes.bootstrap3.article.details##

Issue
Vol. 7 No. 1 (2025): International Conference on Interprofessional Health Collaboration and Community Empowerment
Section
Articles

References

Federation ID. IDF Diabetes Atlas. 10th ed. Brussels, Belgium: International Diabetes Federation; 2024.

Organization WH. Diabetes. Geneva: WHO; 2023.

Kemenkes RI. Laporan Riset Kesehatan Dasar (RISKESDAS) Nasional 2018. Badan Penelitian dan Pengembangan Kesehatan. 2018.

Effendi N, Amalia R, Agustina D. Pengaruh Kondisi Oral terhadap Kualitas Hidup Terkait Kesehatan Gigi dan Mulut pada Masyarakat Pra Lansia dan Lansia Penyandang Diabetes Melitus Tipe 2. [Yogyakarta]: Universitas Gadjah Mada; 2019.

Aprista S, Nelis S, Nasia AA, Prabowo YB. The effect of xerostomia on the quality of life of controlled and uncontrolled type 2 diabetes melitus patients. Padjadjaran J Dent. 2023;35(1):5–11.

López-Pintor RM, de Arriba L, Hernández G, de Andrés A. Oral candidiasis in patients with diabetes mellitus: a systematic review. J Dent Res. 2016;95(8):845–51.

Gong Z, Muzumdar RH. Pancreatic Function, Type 2 Diabetes, and Metabolism in Aging. Int J Endocrinol. 2012;2012:320482.

Preshaw PM, Alba AL, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012;55(1):21–31.

Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284–90.

Locker D, Allen F. What do measures of “oral health-related quality of life” measure? Community Dent Oral Epidemiol. 2007;35(6):401–11.

Zulva SNA, Nasia AA, Pramudo SG, Purwoko Y. Differences in Oral Health-Related Quality of Life (OHRQoL) among the Elderly Population in Rembang Regency. Maj Kedokt Gigi Indones. 2022;8(1):31.

Setijanto RD, Adhiningtyas AP, Yuliantoro R, Herrifnasari AM, Voletta RS, Mahrunisa AN. Association between oral health care behavior and quality of life in elderly with diabetes mellitus in Menur Public Health Center, Surabaya. Indones J Dent Med. 2024;7(1).

Agustina D, Purwanti N, Hanindriyo L, Naritasari F. Oral health-related quality of life in type 2 diabetic patients of Yogyakarta General Hospital. Maj Kedokt Gigi Indones. 2022;7(1):1.

Putri FA, G.Pramudo S, Kusuma IA, Nasia AA. Perbedaan Indeks Kebersihan Mulut dan Indeks Kualitas Hidup Terkait Kesehatan Rongga Mulut pada Pasien Diabetes Melitus Tipe 2 dan Non Diabetes Melitus. e-GiGi. 2021;9(2):224–9.

Husain F, Tatengkeng F, Widyastuti W. Oral health-related quality of life in type 2 diabetic patients of Yogyakarta General Hospital. Maj Kedokt Gigi Indones. 2018;4(3):139–45.

Raharjo M. Analisis kebutuhan pelatihan pada institusi pendidikan kesehatan. J Ilmu Pendidik. 2019;25(3):211–223.

Alqadi SF. Diabetes Mellitus and Its Influence on Oral Health: Review. Diabetes, Metab Syndr Obes. 2024;17(January):107–20.

Mohamad N, Hui GP, Ahmad WMAW, Yudin ZM. Oral Symptoms and Oral Health-Related Quality of Life among Malaysian Patients with Diabetes Mellitus. Pesqui Bras Odontopediatria Clín Integr. 2025;25(e240081):1–12.

Asri MEK, Utomo AW, Kusuma IA, Nosartika I. Pengaruh Pengetahuan dan Perilaku Kesehatan Gigi dan Mulut terhadap Persepsi Permasalahan Gingiva Lansia di Unit Rehabilitasi Sosial Pucang Gading Kota Semarang. e-GiGi. 2021;

Malele-Kolisa Y, Yengopal V, … JI-AJ of, 2019 undefined. Systematic review of factors influencing oral health-related quality of life in children in Africa. scielo.org.za [Internet]. [cited 2023 Mar 26]; Available from: http://www.scielo.org.za/scielo.php?pid=S2071-29362019000100046&script=sci_arttext&tlng=es

Lessa LS, Pires PDS, Ceretta RA, Ceretta LB, Pires PDS, Ceretta RA, et al. Meta-Analysis of Prevalence of Xerostomia in Diabetes Mellitus. Int Arch Med. 2015;8(224):1–13.

Kumar BA, Shenoy N, Chandra KS, Shetty A. Relationship between glycemic control and oral health status in patients with type 2 diabetes mellitus. Gulhane Med J. 2024;66(3):133–8.

Vasudev CI, Kashyap RR, Kini R, Rao PK, Nayak V. Diabetes Mellitus and Xerostomia: An Obnoxious Co-Occurrence. ARC J Dent Sci. 2018;3(1):1–2.

Wimardhani YS, Rahmayanti F, Maharani DA, Mayanti W, Thomson WM. The validity and reliability of the Indonesian version of the Summated Xerostomia Inventory. Gerodontology. 2020;8(1):82–6.

Chan AKY, Tamrakar M, Jiang CM, Lo ECM, Leung KCM, Chu CH. Common medical and dental problems of older adults: A narrative review. Geriatr. 2021;6(3):76.

Kanjirath PP, Kim SE, Inglehart MR. Diabetes and oral health: the importance of oral health-related behavior. J Dent Hyg. 2011;85(4):264–72.

Sadimin, Prasko, Sariyem, Sukini. Dental Health Education to Knowledge about PHBS How to Maintain Dental and Mouth Cleanliness at Orphanage Tarbiyatul Hasanah Gedawang, Banyumanik, Semarang City. J Kesehat Gigi [Internet]. 2021;8(1):1–5. Available from: http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jkg/index

El Osta N, Tubert-Jeannin S, Hennequin M, Bou Abboud Naaman N, El Osta L, Geahchan N. Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health Qual Life Outcomes [Internet]. 2012;10(1):1. Available from: Health and Quality of Life Outcomes

Locker D, Matear D, Stephens M, Lawrence H, Payne B. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dent Oral Epidemiol. 2008;29(373–381).

Zhao M, Xie Y, Gao W, Li C, Ye Q, Li Y. Diabetes mellitus promotes susceptibility to periodontitis—novel insight into the molecular mechanisms. Front Endocrinol. 2023;14(1192625):1–18.

Rahardjo A, Yogeswari D, Bachtiar A. Association between oral health status and oral health-related quality of life in patients with diabetes mellitus. J Phys Conf Ser. 2018;1073:62035.

Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017;45(3):216–24.

Sun L, Wong HM, McGrath CPJ. The factors that influence oral health-related quality of life in young adults 17 Psychology and Cognitive Sciences 1701 Psychology. Health Qual Life Outcomes. 2018;16(1):1–14.

Sugiarti S, Yona S, Tsalitsatul L. Quality of life on type 2 diabetes patients in Indonesia: Systematic review. J Public health Res. 2022;11(3):22799036221113270.

Sitorus RJ, Padmasari EY, Wulandari RD. Health-related quality of life of patients with type 2 diabetes mellitus in Indonesia: a cross-sectional study. BMC Public Health. 2021;21(1).

Andrian R, Reca, Nuraskin CA. Hubungan Pemeliharaan Kesehatan Gigi Dan Mulut Dengan Penyakit Periodontitis Pada Pasien Diabetes Mellitus Di Kecamatan Johan Pahlawan Kabupaten Aceh Barat. Nusuwakes. 2024;17(1):49–58.

Izzati R, Reca. Hubungan Perilaku Penderita Diabetes Mellitus Dengan Status Kebersihan Gigi Dan Mulut. J Online Keperawatan Indones. 2024;7(2):23–31.

Hendrartini J, Hanindriyo L. Evaluation of Primary Care Dentist Service in the Implementation of Jaminan Kesehatan Nasional (JKN) in Central Java and Yogyakarta. In: Proceedings of the ICHS. 2018. p. 19–30.

Borgnakke WS, Ylöstalo P V, Taylor GW, Genco RJ. Effect of periodontal disease on diabetes: systematic review of epidemiologic observational evidence. J Clin Periodontol. 2013;40(S14):S135–52.

Kesehatan B. Panduan Praktis Program Pengelolaan Penyakit Kronis (PROLANIS). Jakarta: BPJS Kesehatan; 2020.

Most read articles by the same author(s)