Awartani F
Dpt of Preventive Dentistry, College of Dentistry, King Saud University, Saudi Arabia.
Odontostomatol Trop. 2009 Dec;32(128):33-9.
The association between periodontal disease and diabetes mellitus has been explored by many researchers over the years. Periodontal signs and symptoms are now recognized as the 'sixth complication of diabetes'. The objective of the present study was to investigate the association between glycemic control of type 2 diabetes mellitus (type 2 DM) and severity of periodontal disease. A total of 126 Saudi female patients diagnosed with type 2 Diabetes were examined. Group I (better control with Hb A1 c less than 9%) included 74 patients, and Group II (poor control with Hb A1c more than 9%) included 52 subjects. The periodontal parameters recorded were plaque index, bleeding index, presence of calculus, pocket depth measurement and clinical attachment level. These parameters were evaluated in a randomized half mouth examination on four sites of each tooth (mesial, distal, buccal and lingual). The results of this study showed that the age, duration of diabetes, percentage of plaque index and bleeding index showed no significant difference between the two groups. In contrast, there was a significantly higher percentage of calculus, PD > or = 4 mm and loss of attachment level (3-4 mm) in the poorly controlled diabetic patients, as compared to the better-controlled group. The result obtained showed a significant association of the loss of attachment level (3-4 mm) with periodontal disease in poorly controlled diabetic patients, as compared to better-controlled patients. Poor-control diabetics (group II) exhibited an increased percentage of calculus and greater risk for periodontitis.
多年来，许多研究人员都在探索牙周疾病与糖尿病之间的关联。牙周的体征和症状如今被视为“糖尿病的第六种并发症”。本研究的目的是调查2型糖尿病（2型DM）的血糖控制与牙周疾病严重程度之间的关联。总共对126名被诊断为2型糖尿病的沙特女性患者进行了检查。第一组（糖化血红蛋白A1c低于9%，控制较好）包括74名患者，第二组（糖化血红蛋白A1c高于9%，控制较差）包括52名受试者。记录的牙周参数有菌斑指数、出血指数、牙石的存在情况、牙周袋深度测量以及临床附着水平。这些参数在对每颗牙齿的四个部位（近中、远中、颊侧和舌侧）进行的随机半口检查中进行评估。本研究结果显示，两组之间的年龄、糖尿病病程、菌斑指数百分比和出血指数没有显著差异。相比之下，与控制较好的组相比，控制较差的糖尿病患者中牙石、牙周袋深度≥4毫米以及附着水平丧失（3 - 4毫米）的百分比显著更高。与控制较好的患者相比，研究结果表明控制较差的糖尿病患者中附着水平丧失（3 - 4毫米）与牙周疾病之间存在显著关联。控制较差的糖尿病患者（第二组）牙石百分比增加，患牙周炎的风险更高。
