Periodontal disease and diabetes mellitus: a two-way road
Keywords:
Diabetes mellitus, Risk factors, Alveolar bone lossAbstract
Objective
The objective of this study was to determine the periodontal condition of diabetic patients.
Methods
In the study, 32 type 2 uncontrolled diabetic patients (reference value of hemoglobin of 7%) and 45 nondiabetic controls (30 with periodontal disease
and 15 healthy) were evaluated. The following periodontal parameters were verified: periodontal probing depth, clinical attachment loss and missing teeth. The data were analyzed by the Mann Whitney and Student’s t test.
Results
Among diabetic patients, 17 had mild chronic periodontitis, 11 moderate and 4 severe, while in nondiabetics 15 were healthy, 13 had mild chronic periodontitis, 15 moderate and 2 severe. Diabetic patients had more missing teeth than the
nondiabetic groups (p<0.009 and p<0.0000); periodontal disease was worse than that of the healthy group (p<0.0000) but better than that of the group with
periodontal disease (p<0.0009); there was no statistically significant difference in clinical attachment loss between diabetic and nondiabetic patients with
periodontal disease (p=0.1576); they only differed from the healthy group.
Conclusion
In this study the group with diabetes had a greater number of missing teeth, which could be the result of periodontal disease. Further studies should be
conducted to clarify this association.
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