Tanwir Farzeen, Altamash Mohammad, Gustafsson Anders
Department of Odontology, Karolinska Institutet, Stockholm, Sweden.
Acta Odontol Scand. 2009;67(3):129-33. doi: 10.1080/00016350802208406.
Diabetes is a global health problem and its prevalence is increasing worldwide. The objective of the study was to investigate the effect of diabetes on the periodontal status of a Pakistani population with poor oral hygiene.
Eighty-eight individuals with diabetes and 80 non-diabetic individuals were recruited from a disadvantaged district in Karachi, Pakistan. The group with diabetes comprised 50 males and 38 females, and the non-diabetic group 43 males and 37 females. All underwent clinical and radiographic examination.
The average numbers of teeth in the diabetes and non-diabetes groups were 24 and 26, respectively. The odds ratio (OR) for missing or fewer teeth was 2.3 times higher for diabetics than for non-diabetics (CI 1.32-4.14; p<0.001). Diabetic patients had more sites with plaque than did non-diabetics (OR 1.96, CI 0.99-3.88; p<0.056). Moderate to severe periodontitis was significantly more prevalent among diabetic patients (p<0.01).
In this disadvantaged population with poor oral hygiene, diabetes has had a strongly negative influence on oral health: diabetic patients have fewer teeth, more plaque, and a higher prevalence of moderate to severe periodontal disease than non-diabetics.
糖尿病是一个全球性的健康问题，其在全球的患病率正在上升。本研究的目的是调查糖尿病对口腔卫生较差的巴基斯坦人群牙周状况的影响。
从巴基斯坦卡拉奇一个贫困地区招募了88名糖尿病患者和80名非糖尿病患者。糖尿病组包括50名男性和38名女性，非糖尿病组包括43名男性和37名女性。所有人都接受了临床和影像学检查。
糖尿病组和非糖尿病组的平均牙齿数分别为24颗和26颗。糖尿病患者牙齿缺失或更少的比值比（OR）是非糖尿病患者的2.3倍（可信区间1.32 - 4.14；p<0.001）。糖尿病患者有菌斑的部位比非糖尿病患者更多（OR 1.96，可信区间0.99 - 3.88；p<0.056）。中度至重度牙周炎在糖尿病患者中明显更为普遍（p<0.01）。
在这个口腔卫生较差的贫困人群中，糖尿病对口腔健康有强烈的负面影响：糖尿病患者比非糖尿病患者牙齿更少、菌斑更多，中度至重度牙周疾病的患病率更高。
