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Tooth and periodontal clinical attachment loss are associated with hyperglycemia in patients with diabetes.
- Source :
-
Journal of periodontology [J Periodontol] 2012 Oct; Vol. 83 (10), pp. 1245-50. Date of Electronic Publication: 2012 Jan 16. - Publication Year :
- 2012
-
Abstract
- Background: Periodontal disease has been associated with diabetes, but there is still controversy on the relationship between periodontal clinical parameters and glycemic control. The purpose of this study is to assess the relationship between blood glucose levels and clinical parameters of periodontal disease in individuals with diabetes.<br />Methods: A total of 65 individuals with diabetes and 81 individuals without diabetes were included in the study. A full-mouth periodontal examination and preprandial fasting glycemia values were recorded for each individual. Glycosylated hemoglobin was only measured in patients with diabetes. A comparative analysis between groups (Mann-Whitney U test) and a correlation analysis between glycemia and periodontal parameters were performed (Spearman test).<br />Results: Patients without diabetes presented more teeth than individuals with diabetes (P <0.05). Patients with diabetes with periodontitis displayed loss of periodontal clinical attachment compared to patients without diabetes, but the highest value was observed in patients with periodontitis that reported a smoking habit. Furthermore, patients with diabetes with periodontitis presented higher glycemia and glycated hemoglobin values in contrast to patients with gingivitis. Patients with diabetes with hyperglycemia had a higher risk to develop periodontitis (odds ratio = 2.24; 95% confidence interval = 1.02 to 4.93). A positive correlation was observed between glycemia and clinical attachment loss (AL), whereas a negative correlation between glycemia and the number of teeth present was found (P <0.05).<br />Conclusions: Tooth and periodontal AL were increased by hyperglycemia in individuals with diabetes. This study contributes additional evidence that diabetes could aggravate periodontal disease and affect the systemic health of individuals.
- Subjects :
- Adult
Case-Control Studies
Cross-Sectional Studies
Female
Glycated Hemoglobin analysis
Humans
Linear Models
Male
Middle Aged
Smoking
Statistics, Nonparametric
Dental Care for Chronically Ill
Diabetes Complications
Hyperglycemia complications
Periodontal Attachment Loss etiology
Tooth Loss etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1943-3670
- Volume :
- 83
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of periodontology
- Publication Type :
- Academic Journal
- Accession number :
- 22248217
- Full Text :
- https://doi.org/10.1902/jop.2012.110681