Study of effect of normal occlusion and malocclusion on periodontal condition of diabetes mellitus patients in dental OPD (Orthodontics) at tertiary care centre, Patna, Bihar, India: A case-control study

Abstract

: Diabetes mellitus is a metabolic disorder in which there is an abnormal elevation of blood glucose level. The periodontitis is recognized as the sixth complication of diabetes. The role of malocclusion in accelerating plague deposition is well known however in normal occlusion with well aligned teeth is less documented. So, the objectives of the study are to study the prevalence of periodontitis in diabetic patients with malocclusion and in normal occlusion and to study the effect of various determinants of diabetes mellitus if at all exists. : It is case-control observational study. Two hundred (200) patients were included in the study from the dental OPD (Orthodontics) of Dept. of Dentistry, and from the Dept. of Endocrinology, Indira Gandhi institute of medical sciences, Patna, Bihar, India. The statistical analysis was done Microsoft office excel. The results were analysed in frequencies and percentages to estimate the prevalence of malocclusion and occlusion in patients with diabetes mellitus and their effects on periodontium of the teeth. The prevalence rate of severe destructive periodontal diseases (SDPD) in malocclusion group was 81.72% than in normal occlusion group with less prevalence rate of 55.21%. The prevalence of severe destructive periodontal diseases in the uncontrolled diabetes mellitus in malocclusion group was more than in normal occlusion group, with maximum periodontium destruction observed during first between 1-5 years of detection of diabetes.