Stojanović Nikola, Krunić Jelena, Cicmil Smiljka, Vukotić Olivera
Srp Arh Celok Lek. 2010 Jul-Aug;138(7-8):420-4. doi: 10.2298/sarh1008420s.
As a systemic disease, diabetes mellitus may lead to several complications affecting both the quality and the length of life. While periodontal disease is one of the major oral health problems in patients with diabetes, reports of an increased risk of dental caries among diabetics are controversial.
The aim of this study was to investigate oral health status in patients with diabetes mellitus type 2 in relation to metabolic control of the disease.
The study included 47 randomly sampled diabetics patients, divided into two groups; those with poorly controlled diabetes (glycosylated haemoglobin--HbA1c > or =9%) and those with better controlled diabetes (HbA1c < 9%). All patients completed a questionnaire about their medical and oral health. Decayed, missing, and filled teeth (DMFT) and plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment loss (CAL) were recorded.
The patients with poorly controlled diabetes had a significantly higher number of tooth caries compared to those with better controlled diabetes (6.5 +/- 4.3 vs. 4.3 +/- 2.9; p < 0.05). Of periodontal parameters, only PPD was significantly higher in the patients with poorly controlled diabetes than in those with better controlled diabetes (5.8 +/- 0.9 vs. 5.2 +/- 0.8; p < 0.05). DMFT index, PI, PPD and CAL exhibited positive correlation only with patients' age.
The study indicates that there is a relationship between poor control of diabetes and caries, and periodontal disease.
作为一种全身性疾病，糖尿病可能导致多种并发症，影响生活质量和寿命。虽然牙周病是糖尿病患者主要的口腔健康问题之一，但关于糖尿病患者患龋齿风险增加的报道存在争议。
本研究旨在调查2型糖尿病患者的口腔健康状况及其与疾病代谢控制的关系。
该研究纳入了47名随机抽样的糖尿病患者，分为两组；糖尿病控制不佳组（糖化血红蛋白——HbA1c≥9%）和糖尿病控制较好组（HbA1c＜9%）。所有患者均完成了一份关于其医疗和口腔健康的问卷。记录龋失补牙数（DMFT）、菌斑指数（PI）、探诊出血（BOP）、探诊深度（PPD）和临床附着丧失（CAL）。
与糖尿病控制较好的患者相比，糖尿病控制不佳的患者龋齿数量显著更多（6.5±4.3比4.3±2.9；p＜0.05）。在牙周参数中，只有糖尿病控制不佳的患者的PPD显著高于糖尿病控制较好的患者（5.8±0.9比5.2±0.8；p＜0.05）。DMFT指数、PI、PPD和CAL仅与患者年龄呈正相关。
该研究表明糖尿病控制不佳与龋齿和牙周病之间存在关联。
