{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:26:35Z","timestamp":1790709995758,"version":"4.1.0"},"reference-count":49,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA","award":["4814\/02.10.2023"],"award-info":[{"award-number":["4814\/02.10.2023"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objectives: Oral health and diabetes are closely linked through shared inflammatory, behavioral, and socioeconomic factors. This study examined the determinants of oral health outcomes and oral-health-related quality of life (OHRQoL) in Romanian diabetic patients using Andersen\u2019s Behavioral Model. Methods: A cross-sectional study was conducted in early 2025 among 79 diabetic patients at a public clinic in Western Romania. Data were collected through questionnaires, clinical oral exams, and the OHIP-14 instrument. Variables were analyzed using Andersen\u2019s Behavioral Model and standard statistical tests, including regression and correlation analyses. Results: Participants had a mean age of 61.2 years; 86.1% had type 2 diabetes and 13.9% type 1. Over 49% reported gingival bleeding, and 38% experienced dental sensitivity. Regression analysis identified limited awareness (OR = 2.21, p = 0.033) and low income (OR = 1.89, p = 0.041) as significant predictors of periodontal symptoms. OHIP-14 scores were weakly correlated with glycemic control (r = 0.17) and dental sensitivity (r = 0.16) but not with objective periodontal parameters. Rural residence, lower education levels, and poor awareness were associated with reduced service utilization and poorer perceived oral health. Conclusions: This study highlights the impact of behavioral, clinical, and socioeconomic factors on oral condition and OHRQoL. Oral health should be integrated into chronic disease care, with prevention-focused strategies aimed at improving access and reducing disparities, especially in older and rural populations.<\/jats:p>","DOI":"10.3390\/dj13060247","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:14:27Z","timestamp":1748585667000},"page":"247","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Determinants of Oral Health Outcomes and Quality of Life in Diabetic Patients from Western Romania: A Behavioral Model Approach"],"prefix":"10.3390","volume":"13","author":[{"given":"Iulia","family":"Alexa","sequence":"first","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Department of Dentistry, Faculty of Dental Medicine, \u201cVasile Goldis\u201d Western University of Arad, 310045 Arad, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6548-9607","authenticated-orcid":false,"given":"Ramona","family":"Dumitrescu","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doina","family":"Chioran","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Oral Surgery, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9946-2517","authenticated-orcid":false,"given":"Octavia","family":"Balean","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1686-0150","authenticated-orcid":false,"given":"Vanessa","family":"Bolchis","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0244-2609","authenticated-orcid":false,"given":"Ruxandra","family":"Sava-Rosianu","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Popescu","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Department of Diabetes, \u201cPius Brinzeu\u201d Emergency Hospital, 300723 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atena","family":"Galuscan","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2705-5020","authenticated-orcid":false,"given":"Daniela","family":"Jumanca","sequence":"additional","affiliation":[{"name":"Translational and Experimental Clinical Research Centre in Oral Health, Department of Preventive, Community Dentistry and Oral Health, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"},{"name":"Clinic of Preventive, Community Dentistry and Oral Health, Department I, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"Global Burden of 369 Diseases and Injuries in 204 Countries and Territories, 1990\u20132019: A Systematic Analysis for the Global Burden of Disease Study 2019","volume":"396","author":"Vos","year":"2020","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.identj.2021.06.003","article-title":"The 2021 WHO Resolution on Oral Health","volume":"71","author":"Lamster","year":"2021","journal-title":"Int. Dent. J."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Bolchis, V., Alexa, I., Toderas, N.A., Dumitrescu, R., Sava-Rosianu, R., Balean, O., Alexa, V.T., Popescu, S., Jumanca, D., and Galuscan, A. (2025). 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