Author:
Kim Eun-Kyong,Lee Sang Gyu,Choi Youn-Hee,Won Kyu-Chang,Moon Jun Sung,Merchant Anwar T,Lee Hee-Kyung
Abstract
Abstract
Background
Evidence consistently shows that diabetes is a risk factor for increased prevalence of gingivitis and periodontitis. But there is a controversy about the relationship between diabetes related factors and periodontal health. The aim of the present study is to explore the relationship between diabetes related factors such as glycosylated hemoglobin, fasting blood glucose, duration of diabetes and compliance to diabetes self management and periodontal health status.
Methods
Periodontal health of 125 participants with type-2 diabetes mellitus was measured by the number of missing teeth, community periodontal index (CPI), Russell’s periodontal index and papillary bleeding index. Information on sociodemographic factors, oral hygiene behavior, duration and compliance to self management of diabetes, levels of glycosylated hemoglobin(HbA1c) and fasting blood glucose(FBG) were collected by interview and hospital medical records. Statistically, independent t-test, an analysis of variance (ANOVA), chi-squared test and multiple regression analyses were used to assess the association between diabetes-related factors and periodontal health.
Results
Periodontal parameters including the number of missing teeth and papillary bleeding index were significantly influenced by duration of diabetes, FBG and compliance to self management of diabetes. CPI was significantly influenced by duration of diabetes, FBG and HbA1C. And Russell’s periodontal index was significantly influenced by duration of diabetes, FBG, HbA1C and compliance to self management of diabetes. Results of multiple linear regression analysis showed that the duration of diabetes showed significant positive correlation with all of the periodontal health parameters, except for missing teeth. HbA1c was correlated with Russell's periodontal and papillary bleeding index. FBG and compliance to self management of diabetes were correlated with missing teeth and papillary bleeding index respectively.
Conclusions
Diabetes-related factors such as duration of diabetes, FBG, HbA1c and compliance to self management of diabetes were significantly correlated with periodontal health among individuals with type-2 diabetes.
Publisher
Springer Science and Business Media LLC
Reference32 articles.
1. Armitage GC: Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999, 4: 1-6. 10.1902/annals.1999.4.1.1.
2. Oliver RC, Brown LJ, Löe H: Periodontal diseases in the United States population. J Periodontol. 1998, 69 (2): 269-278. 10.1902/jop.1998.69.2.269.
3. Research institute for dental care policy and dental practice management: The oral health status of Korea (2010). 2010, 475-
4. O’Dowd LK, Durham J, McCracken GI, Preshaw PM: Patients’ experiences of the impact of periodontal disease. J Clin Periodontol. 2010, 37: 334-339. 10.1111/j.1600-051X.2010.01545.x.
5. Chavarry NGM, Vettore MV, Sansone C, Sheiham A: The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009, 7 (2): 107-127.
Cited by
51 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献