Arrieta-Blanco Juan José, Bartolomé-Villar Bagoña, Jiménez-Martinez Ester, Saavedra-Vallejo Pilar, Arrieta-Blanco Francisco Jesús
Fundación Jiménez Díaz, Madrid, Spain.
Med Oral. 2003 Aug-Oct;8(4):233-47.
Among the late complications associated to the diabetes mellitus, periodontal disease has been highlighted, and it can be more severe and refractory to treatment than in healthy subjects.
Determine the prevalence of gingivitis and periodontitis as well as the Community Periodontal Index of Need of Treatment (CPITN) in diabetic population compared with a control one. Analyze the histological characteristics in the gingiva of diabetic patients.
The study sample was made up of 74 control subjects and 70 diabetics. We evaluated the following parameters: gingival status according to the Löe and Silness criterion, probe depth, loss of insertion, gingival recession and Community Periodontal Index of Need of Treatment. We also performed gingival biopsies in 42 diabetic patients and 29 controls for histological studies.
We found a statistically higher gingivitis index, loss of insertion and gingival recession in diabetic patients compared to the control population, the same not occurring with the probe depth. We did not find significant differences in the CPITN according to the type of diabetes mellitus, metabolic control or disease duration. The biopsy study did not show significant changes in the gingiva of the diabetic patients compared to the control population.
The gingivitis index was higher in the diabetic population. After examination of the treatment needs, we observed how the diabetic patients required more complex treatment.
在与糖尿病相关的晚期并发症中，牙周病备受关注，且与健康受试者相比，其病情可能更严重，治疗也更棘手。
确定糖尿病患者与对照组相比牙龈炎和牙周炎的患病率以及社区牙周治疗需求指数（CPITN）。分析糖尿病患者牙龈的组织学特征。
研究样本由74名对照受试者和70名糖尿病患者组成。我们评估了以下参数：根据洛和西尔斯标准的牙龈状况、探诊深度、附着丧失、牙龈退缩和社区牙周治疗需求指数。我们还对42名糖尿病患者和29名对照者进行了牙龈活检以进行组织学研究。
我们发现，与对照组相比，糖尿病患者的牙龈炎指数、附着丧失和牙龈退缩在统计学上更高，探诊深度则没有这种情况。根据糖尿病类型、代谢控制情况或病程，我们未发现CPITN有显著差异。活检研究表明，与对照组相比，糖尿病患者牙龈没有显著变化。
糖尿病患者的牙龈炎指数更高。在检查治疗需求后，我们发现糖尿病患者需要更复杂的治疗。
