Baldé N M, Diallo O R, Condé B, Kaba K, Dieng A A, Benoist H M, Sembène M, Diallo P D
Service d'Endocrinologie, Hôpital de Donka, CHU de Conakry.
Dakar Med. 2007;52(3):185-9.
Dental and periodontal diseases are frequent in diabetics. Few studies were carried out on oral pathologies of the diabetics in Africa. The objective of this study was to assess periodontal conditions in a population of diabetics followed in a hospital environment by comparing them with non diabetics.
In a cross-sectional study realized from January to April 1999, 80 diabetic patients followed in the Service of Endocrinology were compared to 35 non-diabetic patients, chosen among the patients attending in the Service of Internal medicine of the Donka Teaching Hospital in Conakry in the same period. Both groups were compared according to the simplified oral hygiene index (OHIS) and community periodontal index of treatment needs (CPITN).
There was no difference between diabetics and nondiabetics according to the OHIS. Diabetics CPITN index was higher compared to non-diabetics (p = 0.019). In diabetics, scores of CPITN increase significantly with duration of diabetes mellitus (p = 0.019). Also correlation was found between OHIS and the duration of diabetes. Glycemic control was significantly correlated with OHIS (p < 0.001) and CIPTN (p < 0.001).
Diabetic patients have more periodontal treatment need than controls. Better collaboration between diabetologist and odontostomatologist is needed to preserve the oral health of diabetics.
糖尿病患者中牙齿和牙周疾病很常见。在非洲，针对糖尿病患者口腔病变的研究较少。本研究的目的是通过将医院环境中随访的糖尿病患者群体与非糖尿病患者进行比较，来评估牙周状况。
在1999年1月至4月进行的一项横断面研究中，将内分泌科随访的80名糖尿病患者与同期在科纳克里Donka教学医院内科就诊的患者中选取的35名非糖尿病患者进行比较。根据简化口腔卫生指数（OHIS）和社区牙周治疗需求指数（CPITN）对两组进行比较。
根据OHIS，糖尿病患者与非糖尿病患者之间没有差异。糖尿病患者的CPITN指数高于非糖尿病患者（p = 0.019）。在糖尿病患者中，CPITN得分随糖尿病病程显著增加（p = 0.019）。此外，还发现OHIS与糖尿病病程之间存在相关性。血糖控制与OHIS（p < 0.001）和CIPTN（p < 0.001）显著相关。
糖尿病患者比对照组有更多的牙周治疗需求。糖尿病医生和口腔医生之间需要更好的合作以维护糖尿病患者的口腔健康。
